Organization
METAMORPHOSIS COUNSELING SERVICES
Active
Parent organization
EVELYN DERRY MINISTRIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVELYN DERRY MINISTRIES
Authorized official
DR. EVELYN DERRY PH.D. LPC NCC (LICENSED MENTAL HEALTH PROFESSIONAL)
(318) 208-0451
Entity
Organization
Contact information
Practice address
2924 KNIGHT ST STE 434, SHREVEPORT, LA 71105-2413
(318) 208-0451
Mailing address
535 NORTHPARK DR, BOSSIER CITY, LA 71111-2241
(318) 208-0451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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