Provider Demographics
NPI:1780760348
Name:THE METAMORPHOSIS GROUP, LTD
Entity type:Organization
Organization Name:THE METAMORPHOSIS GROUP, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HILFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:216-464-5592
Mailing Address - Street 1:29525 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4644
Mailing Address - Country:US
Mailing Address - Phone:216-464-5592
Mailing Address - Fax:216-464-5593
Practice Address - Street 1:29525 CHAGRIN BLVD
Practice Address - Street 2:SUITE 309
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4644
Practice Address - Country:US
Practice Address - Phone:216-464-5592
Practice Address - Fax:216-464-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9353851Medicare ID - Type Unspecified