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 is a Clinical Psychologist 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
Phone: (813) 703-2256
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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

Other providers in Temple Terrace