Chrysalis Community Counseling Services

LBN: Chrysalis Community Counseling Services
Chrysalis Community Counseling Services is an health care organization with primary practice located at 1821 4Th St , Santa Rosa CA 95404-3202. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Chrysalis Community Counseling Services can be contacted via phone (707) 545-7670, or through Mathiesen, Lisa via phone (707) 545-1670.

Contact Information

Primary practice address
1821 4Th St Santa Rosa CA 95404-3202
Phone: (707) 545-7670
Fax: (707) 545-3715
Website:
Map and Directions
Authorized official contact:
Name: Mathiesen, Lisa Master of Public Administration (MPA)
Phone: (707) 545-1670

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X California

Profile Details

NPI number 1780055897
LBN Legal business name Chrysalis Community Counseling Services
DBA Doing business as
Authorized official Mathiesen, Lisa Master of Public Administration (MPA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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