| Chrysalis Therapy, Llc | |
|
1403 S Grand Blvd Ste 101s Spokane WA 99203-2272 | |
| (509) 362-9411 | |
| Not Available |
| Full Name | Chrysalis Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1403 S Grand Blvd Ste 101s, Spokane, Washington |
| Authorized Official Name and Position | Taylor Blackwell (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 5093629411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Therapy, Llc 1403 S Grand Blvd Ste 101s Spokane WA 99203-2272 Ph: (509) 362-9411 | Chrysalis Therapy, Llc 1403 S Grand Blvd Ste 101s Spokane WA 99203-2272 Ph: (509) 362-9411 |
| NPI Number | 1104539030 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104539030 | NPI | - | NPPES |
| 1992240212 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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