Organization
METAMORPHOSIS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELODY VAN HOOSE LPCC (OWNER)
(530) 953-8876
Entity
Organization
Contact information
Practice address
1010 MARQUEZ PL STE D5, SANTA FE, NM 87505-1724
(530) 953-8876
Mailing address
1003 DON JUAN ST, SANTA FE, NM 87501-2411
(530) 953-8876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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