Metamorphosis Counseling and Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

METAMORPHOSIS COUNSELING AND WELLNESS, LLC

Practice address

132 Main St FL 2
Southington, CT 06489-2561

Phone

(860) 254-1064

NPI assigned

Jun 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica GrzadoNPI 1770048167

Title

Owner

Phone

(860) 254-1064

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Grzado, LMFT

  • Marriage & Family Therapist
  • Southington, CT
  • NPI 1770048167
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1013532175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CEDAR HOLLOW DR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672641",
            "telephone_number": "860-254-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN ST FL 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892561",
            "telephone_number": "860-254-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-14",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "GRZADO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-254-1064"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R McQueen Jr., MD
• Deidre McVety-Bauco, MSOTR
• David Joseph Meiners, L.P.C.
• Melina Mansour LLC
• David S. Mercugliano, PT
• Isma Arif Mian, M.D.
• Michael Daley
• Michael Daley
• Midstate Medical Group, PC
• Anna Milczek

• Community/Behavioral Health Agency in Southington, CT
• Providers in Southington, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.