Metamorphosis Counseling Center, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

METAMORPHOSIS COUNSELING CENTER, LLC.

Practice address

1457 4H Club Rd
Suite C
Denham Springs, LA 70726-4972

Phone

(225) 993-8301

Fax

(225) 243-7652

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Tara Michelle Demars, LCSW

Title

Owner

Phone

(225) 993-8301

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1699076364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707271387",
            "telephone_number": "225-993-8301",
            "fax_number": "225-243-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 4H CLUB RD",
            "address_2": "SUITE C",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264972",
            "telephone_number": "225-993-8301",
            "fax_number": "225-243-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "DEMARS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-993-8301",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1407925431",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "12165803",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Doucet Meche, M.S. CCC-SLP
• Jonathan Medine
• Medleaders LLC
• Ashley Marie Melancon
• Sarah Mestepey, NP
• Addison Daleany Meyer
• Michelle L Wall
• Michelle L Wall LLC
• Michelle L Wall, LLC
• Michelle L Wall, LLC

• Clinical Social Worker in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.