CHRYSALIS
NPI 1346573417
Counselor - Mental Health in High Point, NC
Active since September 08, 2009
About Chrysalis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRYSALIS (NPI 1346573417) is a healthcare organization registered as a mental health in High Point, North Carolina and active in the NPI registry since September 2009. The organization lists Kandace Koontz Perryman, Owner, Psychotherapist, as its authorized official.
NPPES Registry Identity
NPI1346573417
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHRYSALIS
Location Address1312 HAMILTON PL, SUITE 105High Point, NC 27265
Mailing Address1312 Hamilton Pl, Suite 105High Point, NC 27265 · (336) 885-2116
Phone(336) 885-2116
Organization SubpartNo
Authorized OfficialKandace Koontz PerrymanOwner, Psychotherapist · (336) 885-2116
Enumeration DateSeptember 8, 2009
✔ NPI 1346573417 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 4873
1312 HAMILTON PL, High Point, NC 27265
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346573417, enumerated as an "organization" on September 08, 2009.
The provider is located at 1312 HAMILTON PL SUITE 105 HIGH POINT, NC 27265 and the phone number is (336) 885-2116.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.