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)Name
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
Other Mental Health Counselors in Ellenwood, Georgia:
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