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CHRYSALIS COUNSELING CENTER LLC
NPI 1356956114
Counselor - Mental Health in Port Orange, FL

Active since September 09, 2020
3930 S NOVA RD STE 303, PORT ORANGE, FL 32127(386) 310-7436(386) 259-6112 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2020, Dec 5, 2020, Sep 9, 2020 (3 updates tracked since 2020).

About Chrysalis Counseling Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS COUNSELING CENTER LLC (NPI 1356956114) is a healthcare organization registered as a mental health in Port Orange, Florida and active in the NPI registry since September 2020. The organization lists Brenda C Rockwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1356956114
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHRYSALIS COUNSELING CENTER LLC
Location Address3930 S NOVA RD STE 303Port Orange, FL 32127-9293
Mailing Address3930 S Nova Rd Ste 303Port Orange, FL 32127-9293 · (386) 310-7436 · Fax (386) 259-6112
Phone(386) 310-7436
Fax(386) 259-6112
Organization SubpartNo
Authorized OfficialBrenda C RockwellOwner · (386) 310-7436
Enumeration DateSeptember 9, 2020
Last NPPES UpdateDecember 18, 20203 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1356956114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3930 S NOVA RD STE 303, Port Orange, FL 32127
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Other Identifiers 2

Medicaid020114000FL
Medicaid108142800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARILOURDES PEREZ MA, LMHC
Counselor (Mental Health)
3930 S NOVA RD STE 303
PORT ORANGE, FL 32127
Volusia County (386) 310-7436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrysalis Counseling Center LLC's NPI number?

The NPI number for Chrysalis Counseling Center LLC is 1356956114. It was assigned to this organization in the NPPES registry on September 9, 2020.

Where is Chrysalis Counseling Center LLC located?

Chrysalis Counseling Center LLC is located at 3930 S Nova Rd Ste 303, Port Orange, FL 32127. The listed phone number is (386) 310-7436.

What is Chrysalis Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Chrysalis Counseling Center LLC was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.