Provider Demographics
NPI:1447897962
Name:METAMORPHOSIS UNLIMITED PLLC
Entity type:Organization
Organization Name:METAMORPHOSIS UNLIMITED PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OMEKIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW, LCAS,CSI
Authorized Official - Phone:910-740-4220
Mailing Address - Street 1:103 GREENWELL DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1730
Mailing Address - Country:US
Mailing Address - Phone:910-740-4220
Mailing Address - Fax:757-852-0479
Practice Address - Street 1:5075 MORGANTON RD STE 10C-1015
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1587
Practice Address - Country:US
Practice Address - Phone:910-740-4220
Practice Address - Fax:757-852-0479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty