Provider Demographics
NPI:1477063238
Name:CHRYSALIS FAMILY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CHRYSALIS FAMILY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:EARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-466-5640
Mailing Address - Street 1:201 E LIBERTY ST STE 140
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-4325
Mailing Address - Country:US
Mailing Address - Phone:330-439-5651
Mailing Address - Fax:
Practice Address - Street 1:201 E LIBERTY ST STE 140
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-4325
Practice Address - Country:US
Practice Address - Phone:330-439-5651
Practice Address - Fax:330-439-5657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty