| Chrysalis Psychotherapy Llc | |
|
1173 W Main St Whitewater WI 53190-1672 | |
| (608) 302-0140 | |
| Not Available |
| Full Name | Chrysalis Psychotherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1173 W Main St, Whitewater, Wisconsin |
| Authorized Official Name and Position | Julie Ann Mccalip (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6083020140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Psychotherapy Llc 701 N Wuthering Hills Dr Janesville WI 53546-2104 Ph: (608) 302-0140 | Chrysalis Psychotherapy Llc 1173 W Main St Whitewater WI 53190-1672 Ph: (608) 302-0140 |
| NPI Number | 1063065175 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Medicare PECOS PAC ID | 2466823380 |
|---|---|
| Medicare Enrollment ID | O20230131002718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063065175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Julie Mccalip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679125587 PECOS PAC ID: 8224404355 Enrollment ID: I20230131002794 |
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