Provider Demographics
NPI:1497511885
Name:CHRYSALIS COUNSELING
Entity Type:Organization
Organization Name:CHRYSALIS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-710-4038
Mailing Address - Street 1:3 GRACE ST
Mailing Address - Street 2:
Mailing Address - City:ONANCOCK
Mailing Address - State:VA
Mailing Address - Zip Code:23417-1610
Mailing Address - Country:US
Mailing Address - Phone:757-710-4038
Mailing Address - Fax:
Practice Address - Street 1:25501 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:ONLEY
Practice Address - State:VA
Practice Address - Zip Code:23418-0846
Practice Address - Country:US
Practice Address - Phone:757-710-4038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health