| Chrysalis Counseling Center Llc | |
|
3930 S Nova Rd Ste 303 Port Orange FL 32127-9293 | |
| (386) 310-7436 | |
| (386) 259-6112 |
| Full Name | Chrysalis Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3930 S Nova Rd Ste 303, Port Orange, Florida |
| Authorized Official Name and Position | Brenda C Rockwell (OWNER) |
| Authorized Official Contact | 3863107436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Counseling Center Llc 3930 S Nova Rd Ste 303 Port Orange FL 32127-9293 Ph: (386) 310-7436 | Chrysalis Counseling Center Llc 3930 S Nova Rd Ste 303 Port Orange FL 32127-9293 Ph: (386) 310-7436 |
| NPI Number | 1356956114 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356956114 | NPI | - | NPPES |
| 108142800 | Medicaid | FL | |
| 020114000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Counseling Associates Of Port Orange, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3959 S Nova Rd, Suite 5, Port Orange, FL 32127 Phone: 386-761-2390 Fax: 386-761-3256 | |
Center For Behavioral Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave, Suite 3, Port Orange, FL 32127 Phone: 138-695-7390 | |
Self Quest Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3959 S Nova Rd Ste B-15, Port Orange, FL 32127 Phone: 386-566-6632 Fax: 855-471-0759 | |
Dr Anthony S Capozzi Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1730 Dunlawton Ave Ste 3, Port Orange, FL 32127 Phone: 386-957-3905 | |
Bloom Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2473 Karl Dr, Port Orange, FL 32128 Phone: 904-788-9474 Fax: 760-205-4866 | |
Sue Levy Psyd Lcsw Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3959 S Nova Road, Bldg B Suite 23, Port Orange, FL 32127 Phone: 386-253-8439 Fax: 386-253-8439 | |
Grimes Neurology And Concussion Center, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Dunlawton Ave Ste 103, Port Orange, FL 32127 Phone: 386-679-3270 |