Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Metamorphosis Counseling and Health Center of Idaho, LLC

Organization Mental Health Counselor · NPI 1235791997

Metamorphosis Counseling and Health Center of Idaho, LLC provides Mental Health Counselor services in Boise, Idaho. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10108 W Overland Rd # A
Boise, ID 83709-1428
Phone: (208) 376-1532
Fax: (208) 375-7251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X
Peer Specialist Taxonomy 175T00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1235791997
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization1235791997
Authorized official Crystal Miller — Executive Director/Owner · (208) 376-1532
NPI enumeratedJuly 2, 2019
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address10108 W Overland Rd # A, Boise, ID 83709-1428

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