| Metamorphosis Counseling, Inc | |
|
4501 Maccorkle Ave Sw Suite 103 South Charleston WV 25309-1444 | |
| (304) 768-1401 | |
| (304) 768-1402 |
| Full Name | Metamorphosis Counseling, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4501 Maccorkle Ave Sw, South Charleston, West Virginia |
| Authorized Official Name and Position | Randall Alan Clifford (CFO TREASURER) |
| Authorized Official Contact | 3047681401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Counseling, Inc 2262 Circle Dr Milton WV 25541-1004 Ph: (304) 743-8047 | Metamorphosis Counseling, Inc 4501 Maccorkle Ave Sw Suite 103 South Charleston WV 25309-1444 Ph: (304) 768-1401 |
| NPI Number | 1174649347 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174649347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 94 (West Virginia) | Primary |
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