| Chrysalis Enterprises Of Ohio Llc | |
|
1389 E Cooke Rd Columbus OH 43224-2061 | |
| (614) 805-7430 | |
| Not Available |
| Full Name | Chrysalis Enterprises Of Ohio Llc |
|---|---|
| Speciality | Counselor |
| Location | 1389 E Cooke Rd, Columbus, Ohio |
| Authorized Official Name and Position | Jennifer Schrappe (OWNER) |
| Authorized Official Contact | 6148057430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Enterprises Of Ohio Llc 1389 E Cooke Rd Columbus OH 43224-2061 Ph: (614) 805-7430 | Chrysalis Enterprises Of Ohio Llc 1389 E Cooke Rd Columbus OH 43224-2061 Ph: (614) 805-7430 |
| NPI Number | 1194304469 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Medicare PECOS PAC ID | 1951837236 |
|---|---|
| Medicare Enrollment ID | O20241210002796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194304469 | NPI | - | NPPES |
| Provider Name | Jennifer Schrappe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326496290 PECOS PAC ID: 3173896735 Enrollment ID: I20241210003193 |
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