THE METAMORPHORSIS INSTITUTE, LLC


Address: 7131 Liberty Rd, Suite 202, Baltimore, MD 21207-4575
Phone: 4434363003

THE METAMORPHORSIS INSTITUTE, LLC (NPI# 1609109131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609109131
Entity Type Organization
Organization Name THE METAMORPHORSIS INSTITUTE, LLC
Practice Address 7131 Liberty Rd
Suite 202
Baltimore
MD 21207-4575
Practice Telephone 4434363003
Practice Fax Number 4434363002
Mailing Telephone 4434363003
Mailing Fax Number 4434363002
Enumeration Date 2009-09-16
Last Update Date 2009-09-21
Authorized Official Name DR. MARY L TAYLOR-ENNIS (PSYCHOLOGIST/MEMBER)
Authorized Official Telephone 4434445798
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
03567 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 251502400 05

Office Location

Street Address 7131 LIBERTY RD
SUITE 202
City BALTIMORE
State MD
Zip Code 21207-4575

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316930035 Joseph Blaise Girlando Podiatrist 7131 Liberty Rd, Suite 104, Baltimore, MD 21207-4575 2005-08-28
1023378916 Dara Dane General Practice 7131 Liberty Rd, Suite 203, Baltimore, MD 21207-4575 2012-05-24
1679704506 Agapa LLC Community/Behavioral Health 7131 Liberty Rd, Suite 100a, Baltimore, MD 21207-4575 2009-07-27
1467622001 Joseph B Girlando Dpm Podiatrist 7131 Liberty Rd, Suite 104, Baltimore, MD 21207-4580 2008-03-11
1629248224 Steven J Tilles Pa Podiatrist 7131 Liberty Rd, Suite 100, Baltimore, MD 21207-4580 2008-03-11
1407868045 Steven Jay Tilles Podiatrist 7131 Liberty Rd, #100, Baltimore, MD 21207-4579 2006-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821613373 Keys Development Ta Case Management 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 2020-06-10
1891328431 Day-by-day Healthcare LLC Home Health Aide 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 2020-02-21
1366005944 Lacey Murphy Social Worker 6201 Liberty Road, Baltimore, MD 21207 2019-04-18
1811453368 Pamela Powell Social Worker 5025 Dickey Hill Rd, Baltimore, MD 21207 2019-02-20
1568932176 Reflections Counseling & Consulting Community/Behavioral Health 6901 Brightway, Unit F, Gwynn Oak, MD 21207 2018-11-27
1255849394 Therapetic Wellness Services Community/Behavioral Health 4909 Liberty Heights Ave, Baltimore, MD 21207 2018-01-10
1922525252 Passionate Hands Transitional Housing Clinic/Center 4711 Liberty Heights Avenue, Baltimore, MD 21207 2017-08-28
1528427689 Stephen James Allen Occupational Therapy Assistant 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 2016-02-17
1255720439 Dawn James Counselor 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 2015-01-12
1407251168 Allcare International, Inc Day Training, Developmentally Disabled Services 3402 Milford Ave, Baltimore, MD 21207 2014-10-23
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598385577 Rise Life Solutions Psychologist 22 S Exeter St, Baltimore, MD 21202-4628 2020-04-20
1821617648 Deborah Antonia Drummer Psychologist 1608 Burnwood Rd, Baltimore, MD 21239-3603 2020-04-11
1669091823 Catherine Marie Corno Garofano Psychologist 10 N Greene St # 6d109, Baltimore, MD 21201-1524 2020-04-08
1184251969 One Healing Education and Renewing Through Therapy Psychologist 210 E Lexington St. Suite 400, Suite 400, Baltimore, MD 21202-0000 2020-03-24
1376176974 Jennifer May Lorenzo Psychologist 209 W Fayette St Fl 4, Baltimore, MD 21201-3403 2020-02-21
1235774878 Sarah E Ryan Psychologist 707 Grundy St, Baltimore, MD 21224-4344 2019-11-07
1205494200 Ophira Weiskopf Psychologist 3705 W Rogers Ave, Baltimore, MD 21215-4525 2019-06-04
1487129813 Mental Health Assessment and Wellness, LLC Psychologist 5911 York Rd Ste 100, Baltimore, MD 21212-3048 2018-10-12
1023594017 Yaakov Shugarman Psychologist 5603 Newbury St, Baltimore, MD 21209-3603 2018-07-13
1285140541 Omolara Akinrinade Psychologist 6722 Valley Creek Dr, Baltimore, MD 21207-5319 2017-12-22
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Competitor

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City BALTIMORE
Zip Code 21207

Improve Information

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Dataset Information

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.

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