Metamorphosis Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

METAMORPHOSIS COUNSELING SERVICES

Practice address

2924 Knight St Ste 434
Shreveport, LA 71105-2413

Phone

(318) 208-0451

NPI assigned

Nov 20, 2024

Organization subpart

Yes

Parent organization

EVELYN DERRY MINISTRIESAs reported in NPPES

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

Authorized official

Name

Dr. Evelyn Derry, PH.D. LPC NCCNPI 1144773102

Title

Licensed Mental Health Professional

Phone

(318) 208-0451

Specialties & licenses 1

Addresses

Part of

Metamorphosis Counseling Services

Practitioners 1

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

• Evelyn Derry, PH.D.

  • Professional Counselor
  • Shreveport, LA
  • NPI 1144773102
  NPD Authorized official

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1841015104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 NORTHPARK DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112241",
            "telephone_number": "318-208-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 434",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-208-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVELYN DERRY MINISTRIES",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "DERRY",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH PROFESSIONAL",
        "authorized_official_telephone_number": "318-208-0451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. LPC NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Diaz Merry, APRN, FNP-C
• Mesloh Counseling Center, LLC
• Stephanie Leigh Mesloh, M.A., LPC
• John Isles Fraser Messier, PA
• Metabolic Health Restoration
• Bruce Deandre Metcalf
• John D Metoyer, CRNA
• Melody Candace Harmony Metoyer
• Mildred Metoyer, BSN, RN
• Metropolitan Circles

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.