KRYSALIS THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC
NPI 1972457638
Counselor - Professional in Lilburn, GA

Active since February 20, 2026
3589 JAYDEE CT, LILBURN, GA 30047(669) 244-2329 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krysalis Therapy, Licensed Professional Clinical Counselor, Inc NPPES

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

KRYSALIS THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC (NPI 1972457638) is a healthcare organization registered as a professional in Lilburn, Georgia and active in the NPI registry since February 2026. The organization lists Roshin Kaduthanathu Abraham, President, as its authorized official.

NPPES Registry Identity

NPI1972457638
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameKRYSALIS THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC
Location Address3589 JAYDEE CTLilburn, GA 30047-6909
Mailing Address1111 6th Ave Ste 550San Diego, CA 92101-5211 · (669) 244-2329
Organization SubpartNo
Authorized OfficialRoshin Kaduthanathu AbrahamPresident · (669) 244-2329
Enumeration DateFebruary 20, 2026
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
NPI 1972457638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3589 JAYDEE CT, Lilburn, GA 30047

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 NPPES & CMS

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

What is Krysalis Therapy, Licensed Professional Clinical Counselor, Inc's NPI number?

The NPI number for Krysalis Therapy, Licensed Professional Clinical Counselor, Inc is 1972457638. It was assigned to this organization in the NPPES registry on February 20, 2026.

Where is Krysalis Therapy, Licensed Professional Clinical Counselor, Inc located?

Krysalis Therapy, Licensed Professional Clinical Counselor, Inc is located at 3589 Jaydee Ct, Lilburn, GA 30047. The listed phone number is (669) 244-2329.

What is Krysalis Therapy, Licensed Professional Clinical Counselor, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Krysalis Therapy, Licensed Professional Clinical Counselor, Inc was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.