JENNIFER BRADLEY OR CHRYSALIS THERAPY (NPI# 1568958817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568958817 |
| Entity Type | Organization |
| Organization Name | JENNIFER BRADLEY OR CHRYSALIS THERAPY |
| Other Organization Name | CHRYSALIS THERAPY |
| Practice Address |
2039 Fairbank Cir Chelsea AL 35043-7235 |
| Mailing Address |
16700 Highway 280 Ste 222 Chelsea AL 35043-8325 |
| Practice Telephone | 2056778134 |
| Practice Fax Number | 8445790080 |
| Mailing Telephone | 2056778134 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | JENNIFER BRADLEY (OWNER) |
| Authorized Official Telephone | 2056778134 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | JENNIFER BRADLEY OR CHRYSALIS THERAPY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | ========= | AL | Agencies |
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Chrysalis Therapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4268 Cahaba Heights Ct Ste 106, Vestavia, AL 352435737 | 2056778134 |
| Street Address |
2039 FAIRBANK CIR |
| City | CHELSEA |
| State | AL |
| Zip Code | 35043-7235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371909 | Rachael Fogel | Pharmacist | 16468 Us-280, Chelsea, AL 35043 | 2015-07-17 |
| 1063707396 | Baptist Health Center Chelsea | Family Medicine | 15582 Us Highway 280, Suite 110, Chelsea, AL 35043 | 2011-06-15 |
| 1780977447 | Chelsea Urgent Care | Family Medicine | 15582 Hwy 280, Sute 106, Chelsea, AL 35043 | 2011-05-27 |
| 1851606925 | Ryan A Draiss | Dentist | 407 Chelsea Crossraods, Chelsea, AL 35043 | 2010-08-13 |
| 1538356324 | Benjamin Enterprises, Inc | Chiropractor | 16054 Old Hwy 280, Suite 200, Chelsea, AL 35043 | 2007-09-26 |
| 1841487766 | Town of Chelsea | Ambulance | 104 Chesser Drive, Chelsea, AL 35043 | 2007-09-25 |
| 1417167271 | Justin Wade Fogo | Chiropractor | 398 Chesser Road, Suite 2, Chelsea, AL 35043 | 2007-05-23 |
| 1265656649 | Wal-mart Stores, Inc. | Technician/Technologist | 16077 Hwy 280, Chelsea, AL 35043 | 2007-04-13 |
| 1992827885 | Chelsea Family Dentistry, PC | Dentist | 300 Jade Park, Ste 302, Chelsea, AL 35043 | 2007-04-04 |
| 1770623647 | Chelsea Apothecary Inc | Pharmacy | 16724 Hwy 280, Chelsea, AL 35043 | 2007-02-08 |
| Find all providers in zip 35043 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526213 | Todd Koch | Counselor | 636 N Main St Ste 100, Chelsea, MI 48118-1628 | 2020-04-07 |
| 1699207175 | Creative Counseling Solutions, LLC | Counselor | 310 N. Main Street, Ste 120, Chelsea, MI 48118-1291 | 2017-04-03 |
| 1164827903 | Amy Evans | Counselor | 802 S Maple St, Chelsea, OK 74016-2038 | 2014-10-22 |
| 1295011229 | Alina Constantinescu | Counselor | 301 Broadway, Chelsea, MA 02150-2807 | 2011-10-21 |
| 1386978849 | Pia Michelle Stanard Marancik | Counselor | 31 Spurwink Dr, Chelsea, ME 04330-1166 | 2009-09-30 |
| 1083767404 | Mary R O'beirne | Counselor | 301 Broadway, Chelsea, MA 02150-2807 | 2007-01-19 |
| 1982791307 | Nathan S Hallowell | Counselor | 31 Spurwink Dr, Chelsea, ME 04330-1166 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506874 | Leah Chapman Braue | Counselor | 3420 Fairway Dr, Trussville, AL 35173-5122 | 2020-10-21 |
| 1447859368 | Luther Graham Bufford | Counselor | 119 Shades Crest Rd, Hoover, AL 35226-1011 | 2020-10-21 |
| 1396344602 | H.o.p.e. Counseling and Consulting, LLC | Counselor | 820 S. University Blvd Ste. 4-f, Mobile, AL 36609-3660 | 2020-10-19 |
| 1437758802 | Cori C Ray | Counselor | 1025 Montgomery Hwy Ste 210, Vestavia Hills, AL 35216-2830 | 2020-10-18 |
| 1871191262 | Leslie N Weaver | Counselor | 656 Townsend Circle, Chickasaw, Alabama, AL 36611 | 2020-10-16 |
| 1134727266 | Jessica Lea Hawken | Counselor | 202 Britt Dr, Enterprise, AL 36330-7882 | 2020-10-12 |
| 1225635196 | Angel's Pond Counseling | Counselor | 208 Searcy St, Enterprise, AL 36330-2739 | 2020-10-05 |
| 1144827031 | Marable Counseling & Consulting Services, LLC | Counselor | 400 Century Park S Ste 106, Birmingham, AL 35226-3925 | 2020-10-05 |
| 1023624590 | Lovett Counseling LLC | Counselor | 1025 Montgomery Hwy Ste 208, Vestavia Hills, AL 35216-2830 | 2020-09-21 |
| 1841806585 | Elaine K Young | Counselor | 674 Provence Drive, Vestavia, AL 35242-2288 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER BRADLEY OR CHRYSALIS THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.