Organization

Khrysalis Empowerment Inc

May also be knows as Khrysalis Empowerment Inc

Mental Health Counselor in Ellenwood, GA(View on Map)

Legal Business Name

Khrysalis Empowerment Inc

Also Known As

Khrysalis Empowerment Inc

NPI Number

1952169153

NPI Type

Organization

Enumeration Date

03/12/2024

Specialties

(Taxonomies)

Code

101YM0800X
261QM0850X
251B00000X
251V00000X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

168 EXPEDITION DR
168 EXPEDITION DR

City

Ellenwood
Ellenwood

State

GA
GA

Postal Code

30294-2274
30294-2274

Country

US
US

Telephone Number

(770) 703-9008
(770) 703-9008

Authorized Official

Name

Diann Shahid Holley

Title or Position

CEO/FOUNDER

Telephone Number

(770) 703-9008

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/30/2024

Provider Address

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Organization

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