Organization
METAMORPHOSIS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN GAECKLE APRN (OWNER AND PROVIDER)
(802) 216-8480
Entity
Organization
Contact information
Practice address
454 FREEMAN RD, NORTHFIELD, VT 05663-6230
(802) 216-8480
Mailing address
PO BOX 344, WATERBURY CENTER, VT 05677-0344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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