CHRYSALIS INSTITUTE LLC NPI 1265663363

NPI Information

NPI: 1265663363
Provider Name: CHRYSALIS INSTITUTE, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
800 NE 19TH ST
MOORE, OK
ZIP 73160
Phone: (405) 735-5263
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CHRYSALIS INSTITUTE, LLC is a mental health counselor in Moore, OK. CHRYSALIS INSTITUTE, LLC NPI is 1265663363. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 NE 19TH ST
MOORE, OK
ZIP 73160-302
Phone: (405) 735-5263
Fax: (405) 735-5265

The provider's authorized official is Kelly Bender .
The authorized official title is President/therapist and has the following contact phone number (405) 301-3983.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 8/6/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	106H00000X	Marriage & Family Therapist		No
3	251S00000X	Community/Behavioral Health		No
4	101YM0800X	Counselor	Mental Health	Yes

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: 4/28/2024

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