Provider Demographics
NPI:1194510909
Name:METAMORPHOSIS BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:METAMORPHOSIS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ULRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ACCIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-607-9178
Mailing Address - Street 1:9996 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3202
Mailing Address - Country:US
Mailing Address - Phone:954-309-0099
Mailing Address - Fax:954-420-8630
Practice Address - Street 1:9996 OLIVE ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3202
Practice Address - Country:US
Practice Address - Phone:954-309-0099
Practice Address - Fax:954-420-8630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty