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CHRYSALIS CONNECTION PLLC NPI 1558789750


NPI Information

NPI: 1558789750
Provider Name: CHRYSALIS CONNECTION PLLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1401 S DOUGLAS BLVD
STE. A
MIDWEST CITY, OK
ZIP 73130
Phone: (405) 737-2065
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CHRYSALIS CONNECTION PLLC is a counselor in Midwest City, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CHRYSALIS CONNECTION PLLC NPI is 1558789750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1401 S DOUGLAS BLVD
STE. A
MIDWEST CITY, OK
ZIP 73130-266
Phone: (405) 737-2065

The provider's authorized official is Nichelle D Williams .
The authorized official title is Licensed Alcohol And Drug Counselor and has the following contact phone number (405) 397-5153.

The enumeration date for this NPI number is 4/3/2014 and was last updated on 4/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor1036OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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