Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Metamorphosis Life Revitalizing Center

Organization Clinical Psychologist · NPI 1356755060

Metamorphosis Life Revitalizing Center provides Clinical Psychologist services in Temple Terrace, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

11700 N 58th St Ste J
Temple Terrace, FL 33617-1666 Not confirmed with CMS for 12 years — call before visiting
Phone: (813) 703-2256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY8197 (FL)

Record details

NPI number1356755060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official April Jackson-James — Managing Partner · (813) 703-2256
NPI enumeratedJune 20, 2014
Last updated in NPPESJune 20, 2014
Mailing address8430 Montravail Cir, 313, Temple Terrace, FL 33637-3024

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