Organization
METAMORPHOSIS HEALTH AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA LATRIESE HOLLOWAY LPC, NCC (OWNER)
(757) 389-3761
Entity
Organization
Contact information
Practice address
10106 KRAUSE RD STE 206, CHESTERFIELD, VA 23832-6572
(804) 991-8799
(804) 777-7770
Mailing address
10106 KRAUSE RD STE 206, CHESTERFIELD, VA 23832-6572
(804) 991-8799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247726836
—
VA
Enumeration date
08/22/2019
Last updated
04/20/2020
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