THE CHRYSALIS COUNSELING CENTER LLC (NPI# 1902405483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902405483 |
| Entity Type | Organization |
| Organization Name | THE CHRYSALIS COUNSELING CENTER LLC |
| Practice Address |
3000 Atrium Way Ste 200 Mount Laurel NJ 08054-3910 |
| Mailing Address |
3000 Atrium Way Ste 200 Pmb#280 Mount Laurel NJ 08054-3910 |
| Practice Telephone | 8562008203 |
| Mailing Telephone | 8562008203 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | CAITLIN ARCHIBALD (OWNER) |
| Authorized Official Telephone | 7329775889 |
| Authorized Official Credential | MS, LPC, NCC, CC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
3000 ATRIUM WAY STE 200 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1407475940 | Shari Hurst | Social Worker | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054-3910 | 2020-04-14 |
| 1285105635 | Clarity Process Behavioral Consultants LLC | Community/Behavioral Health | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054-3910 | 2018-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| 1396270047 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Bentley Drive, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871866145 | Jennifer Mary Swift | Counselor | 603b Birchfield Dr, Mount Laurel, NJ 08054-4011 | 2012-02-17 |
| 1033446851 | Sand Castle Counseling Services | Counselor | 1155 Route 73 Ste 12, Mount Laurel, NJ 08054-2352 | 2009-11-16 |
| 1467612994 | Patricia J. Miller | Counselor | 25 Claver Hill Way, Mount Laurel, NJ 08054-2648 | 2008-06-09 |
| 1528263704 | Elizabeth D. Pezoa | Counselor | 1120 Route 73 Ste 300, Mount Laurel, NJ 08054-5113 | 2007-06-18 |
| 1831604362 | Dana Ann Fuccello | Counselor | 603b Birchfield Dr, Mount Laurel, NJ 08054-4011 | 2017-12-06 |
| 1174980619 | Samantha Piazza | Counselor | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2016-01-27 |
| 1982045191 | Michael Sansone | Counselor | 108 Fairway Ter, Mount Laurel, NJ 08054-2321 | 2013-07-16 |
| 1831443894 | Paul C Furtaw | Counselor | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2012-10-30 |
| 1538460043 | Sarah Kathryn White | Counselor | 3804 Church Rd, Mount Laurel, NJ 08054-1106 | 2010-11-15 |
| 1184952665 | Helen V Hicks | Counselor | 1155 Route 73, Ramblewood Ste 12, Mount Laurel, NJ 08054-2352 | 2009-11-22 |
| Find all providers in MOUNT LAUREL | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
Please comment or provide details below to improve the information on THE CHRYSALIS COUNSELING CENTER LLC.
| 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.