METAMORPHOSIS MENTAL HEALTH CORPORATION (NPI# 1558841023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558841023 |
| Entity Type | Organization |
| Organization Name | METAMORPHOSIS MENTAL HEALTH CORPORATION |
| Other Organization Name | N/A |
| Practice Address |
179 W Evelyn Ave Monticello KY 42633-1511 |
| Practice Telephone | 6068752924 |
| Mailing Telephone | 6068752924 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | KENDRA M PATTON (LPCC-OWNER) |
| Authorized Official Telephone | 6068752924 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| N/A | Doing Business As Name - Organization |
| Street Address |
179 W EVELYN AVE |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396237517 | Kendra M Patton | Counselor | 179 W Evelyn Ave, Monticello, KY 42633-1511 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992209274 | Mindful Beginnings | Clinic/Center | 121 N State St Ste 4, Monticello, IL 61856-1677 | 2018-03-21 |
| 1992203061 | Prairie Home Wellness and Counseling | Clinic/Center | 218 W 1st St Ste A, Monticello, IA 52310-1401 | 2018-01-24 |
| 1942729785 | Hillcrest Family Services | Clinic/Center | 818 W 1st St Ste 100, Monticello, IA 52310-1314 | 2017-09-13 |
| 1053364612 | Delta Counseling Associates Inc | Clinic/Center | 790 Roberts Dr, Monticello, AR 71655-5723 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1568069326 | Evolve Lou Counseling | Clinic/Center | 1309 Cecil Ave, Louisville, KY 40211-2418 | 2020-10-05 |
| 1265048748 | Therapy Pros, Inc. | Clinic/Center | 928 Idlewild Ct, Lexington, KY 40505-3634 | 2020-09-19 |
| 1538791165 | Bhg Lviii, LLC | Clinic/Center | 1000 Ace Drive, Berea, KY 40403-1327 | 2020-02-11 |
| 1538791140 | Bhg Lviii, LLC | Clinic/Center | 2705 Olivet Church Road, Paducah, KY 42001-9755 | 2020-02-11 |
| 1356987929 | Faraday Kentucky, LLC | Clinic/Center | 10000 Shelbyville Rd Ste 101, Louisville, KY 40223-2973 | 2019-11-19 |
| 1568004976 | Good Shepherd Institute of The Bluegrass | Clinic/Center | 307 W Dixie Ave, Elizabethtown, KY 42701-1701 | 2019-10-17 |
| 1831746767 | Journey Through Counseling LLC | Clinic/Center | 2614 Utah Dr, Bowling Green, KY 42104-4263 | 2019-08-26 |
| 1578020210 | The Family Healing Center, Inc | Clinic/Center | 241 East Main Street, Morehead, KY 40351 | 2019-03-01 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
Please comment or provide details below to improve the information on METAMORPHOSIS MENTAL HEALTH CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.