Provider Demographics
NPI:1699883355
Name:CHRYSALIS COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:CHRYSALIS COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WENDLING
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:330-364-9360
Mailing Address - Street 1:152 N BROADWAY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2665
Mailing Address - Country:US
Mailing Address - Phone:330-364-9360
Mailing Address - Fax:330-364-9769
Practice Address - Street 1:152 N BROADWAY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2665
Practice Address - Country:US
Practice Address - Phone:330-364-9360
Practice Address - Fax:330-364-9769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty