NPI 1578157293 · live from the CMS NPI Registry
Metamorphosis Soul Healing, LLC
Marriage & Family Therapist in Smyrna, DE. National Provider Identifier 1578157293, active.
NPI record
| NPI | 1578157293 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 74 Liborio Ln, Smyrna, DE 19977 |
| Practice phone | 484-816-8510 |
| Enumerated | February 23, 2021 |
| Last updated | February 23, 2021 |
| Authorized official | Jeanne Mayo, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.