NPI 1356956114

Chrysalis Counseling Center LLC

Organisation Mental Health Counselor Port Orange, FL

Practice location

Address: 3930 S Nova Rd STE 303, Port Orange, FL 32127-9293
Phone: (386) 310-7436
Fax: (386) 259-6112

Authorised official

Name: Brenda C Rockwell
Title: Owner
Phone: (386) 310-7436

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1356956114
Entity type: Organization
NPI issued: 9 Sep 2020
Record last updated: 18 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.