Metamorphosis Counseling and Wellness Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15855 Issued in FL

Legal business name

METAMORPHOSIS COUNSELING AND WELLNESS SERVICES LLC

Practice address

665 Dillard Dr SE
Virtual/Online Only
Palm Bay, FL 32909

Phone

(321) 272-5996

Fax

(321) 473-8874

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Annette McDaniel, NCC CCMHC LMHCNPI 1972734390

Title

Ceo/Counselor

Phone

(321) 272-5996

Specialties & licenses 4

Addresses

Other names 1

• Metamorphosis Counseling Services PLLC Former legal business name

Locations

Practitioners 1

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

• Annette McDaniel, NCC CCMHC LMHC LMT

  • Mental Health Counselor
  • Palm Bay, FL
  • NPI 1972734390
  NPD Authorized official

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1700297181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100156",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329100156",
            "telephone_number": "321-272-5996",
            "fax_number": "321-473-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 DILLARD DR SE",
            "address_2": "VIRTUAL/ONLINE ONLY",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32909",
            "telephone_number": "321-272-5996",
            "fax_number": "321-473-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING AND WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "321-272-5996",
        "authorized_official_credential": "NCC CCMHC LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15855",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69138",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7677",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA86130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metamorphosis Counseling Services PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mercy Chiropractic PLLC
• Stacy Lee Meriwether, OTR/L
• Vicki M Merrick, D.C.
• Chotsani Merrill
• Jacquelyn Merrill, ARNP
• Balaguel Mevoicy
• Peter Clever Mhariwa I, PT
• Michael J. Ayres, DPM, PA
• Austin Tyler Michaud
• Tiffany Nicole Michaux, ARNP

• Mental Health Counselor in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.