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

Metamorphosis Counseling and Health Center of Idaho, LLC

Organization Mental Health Counselor · NPI 1235791997

Metamorphosis Counseling and Health Center of Idaho, LLC is a Mental Health Counselor 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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