| Pursuing Metamorphosis Llc | |
|
153 Hazard Ave Enfield CT 06082-4592 | |
| (860) 253-5020 | |
| (860) 253-5030 |
| Full Name | Pursuing Metamorphosis Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 153 Hazard Ave, Enfield, Connecticut |
| Authorized Official Name and Position | Crystal Morlock (OWNER) |
| Authorized Official Contact | 7743121629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pursuing Metamorphosis Llc 95 Hockanum Blvd Unit 4708 Vernon CT 06066-7008 Ph: (774) 312-1629 | Pursuing Metamorphosis Llc 153 Hazard Ave Enfield CT 06082-4592 Ph: (860) 253-5020 |
| NPI Number | 1417435033 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 06/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417435033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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