KHRYSALIS EMPOWERMENT INC NPI 1952169153

NPI Information

NPI: 1952169153
Provider Name: KHRYSALIS EMPOWERMENT INC

Doing Business As: KHRYSALIS EMPOWERMENT INC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
168 EXPEDITION DR
ELLENWOOD, GA
ZIP 30294
Phone: (770) 703-9008
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KHRYSALIS EMPOWERMENT INC is a mental health counselor in Ellenwood, GA. KHRYSALIS EMPOWERMENT INC NPI is 1952169153. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Khrysalis Empowerment Inc.

The provider's business location address is:

168 EXPEDITION DR
ELLENWOOD, GA
ZIP 30294-274
Phone: (770) 703-9008

The provider's authorized official is Diann Shahid Holley .
The authorized official title is Ceo/founder and has the following contact phone number (770) 703-9008.

The enumeration date for this NPI number is 3/12/2024 and was last updated on 4/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	Yes
2	251B00000X	Case Management		No
3	251V00000X	Voluntary or Charitable		No
4	261QM0850X	Clinic/Center	Adult Mental Health	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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