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CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC
NPI 1952834640
Counselor - Mental Health in Wilmington, NC

Active since April 10, 2017
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403(910) 790-9500(910) 796-8111 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 21, 2024, Apr 18, 2018, Apr 10, 2017 (3 updates tracked since 2017).

About Chrysalis Center For Counseling And Eating Disorder Treatment Pllc NPPES

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

CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC (NPI 1952834640) is a healthcare organization registered as a mental health in Wilmington, North Carolina and active in the NPI registry since April 2017. The organization lists Macon Funderburk, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1952834640
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC
Location Address3240 BURNT MILL DR, SUITE 1Wilmington, NC 28403-2576
Mailing Address3240 Burnt Mill Dr, Suite 1Wilmington, NC 28403-2576 · (910) 790-9500 · Fax (910) 796-8111
Phone(910) 790-9500
Fax(910) 796-8111
Organization SubpartNo
Authorized OfficialMacon FunderburkOffice Manager · (910) 790-9500
Enumeration DateApril 10, 2017
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1952834640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
3240 BURNT MILL DR, Wilmington, NC 28403
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 10

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

RHA HEALTH SERVICES, INC.
Community/Behavioral Health
3240 BURNT MILL DR
WILMINGTON, NC 28403
New Hanover County (910) 763-5355
RICHARD DWAYNE SIMPSON RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3240 BURNT MILL DR, SUITE 5
WILMINGTON, NC 28403
New Hanover County (910) 763-8229
AFFILIATED HEALTHCARE, PLC
Specialist
3240 BURNT MILL DR, SUITE 9
WILMINGTON, NC 28403
New Hanover County (252) 916-7026
KELLY BROADWATER PICKELL MA, LPA, LPC, CEDS
Psychologist
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
STEPHANIE CHERISE VLAD MA, LPA, HSP-PA
Psychologist (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
MRS. TERRI LEA MOZINGO RD, LDN
Dietitian, Registered
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
CHAUNDRA JOY EVANS RD, LDN
Dietitian, Registered
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
PAMELA VETTER MSW, LCSWA
Social Worker (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500

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 Center For Counseling And Eating Disorder Treatment PLLC's NPI number?

The NPI number for Chrysalis Center For Counseling And Eating Disorder Treatment PLLC is 1952834640. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is Chrysalis Center For Counseling And Eating Disorder Treatment PLLC located?

Chrysalis Center For Counseling And Eating Disorder Treatment PLLC is located at 3240 Burnt Mill Dr Suite 1, Wilmington, NC 28403. The listed phone number is (910) 790-9500.

What is Chrysalis Center For Counseling And Eating Disorder Treatment PLLC's specialty?

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

What insurance does Chrysalis Center For Counseling And Eating Disorder Treatment PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Chrysalis Center For Counseling And Eating Disorder Treatment PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chrysalis Center For Counseling And Eating Disorder Treatment PLLC was last updated on August 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.