| Metamorphosis Counseling Ii, Inc | |
|
10229 Nw 9th Street Cir Apt 204 Miami FL 33172-3232 | |
| (786) 457-9963 | |
| Not Available |
| Full Name | Metamorphosis Counseling Ii, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10229 Nw 9th Street Cir Apt 204, Miami, Florida |
| Authorized Official Name and Position | Rina Gutierrez (OWNER) |
| Authorized Official Contact | 7864579963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Counseling Ii, Inc 10229 Nw 9th Street Cir Apt 204 Miami FL 33172-3232 Ph: (786) 457-9963 | Metamorphosis Counseling Ii, Inc 10229 Nw 9th Street Cir Apt 204 Miami FL 33172-3232 Ph: (786) 457-9963 |
| NPI Number | 1811732613 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/26/2024 |
| Medicare PECOS PAC ID | 3476094061 |
|---|---|
| Medicare Enrollment ID | O20240923003514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811732613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Rina Lucia Gutierrrez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386993673 PECOS PAC ID: 8123569712 Enrollment ID: I20240923003396 |
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