Chrysalis Counseling Center Llc

LBN: Chrysalis Counseling Center Llc
Chrysalis Counseling Center Llc is an health care organization with primary practice located at 3930 S Nova Rd Ste 303 , Port Orange FL 32127-9293. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Chrysalis Counseling Center Llc can be contacted via phone (386) 310-7436, or through Rockwell, Brenda C via phone (386) 310-7436.

Contact Information

Primary practice address
3930 S Nova Rd Ste 303 Port Orange FL 32127-9293
Phone: (386) 310-7436
Fax: (386) 259-6112
Website:
Map and Directions
Authorized official contact:
Name: Rockwell, Brenda C LMHC
Phone: (386) 310-7436

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1356956114
LBN Legal business name Chrysalis Counseling Center Llc
DBA Doing business as
Authorized official Rockwell, Brenda C LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2020
Last updated Dec 18th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356956114 NPPES
Florida MEDICAID 108142800
Florida MEDICAID 020114000

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