| Khrysalis Empowerment Inc | |
|
168 Expedition Dr Ellenwood GA 30294-2274 | |
| (770) 703-9008 | |
| Not Available |
| Full Name | Khrysalis Empowerment Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 168 Expedition Dr, Ellenwood, Georgia |
| Authorized Official Name and Position | Diann Shahid Holley (CEO/FOUNDER) |
| Authorized Official Contact | 7707039008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khrysalis Empowerment Inc 168 Expedition Dr Ellenwood GA 30294-2274 Ph: (770) 703-9008 | Khrysalis Empowerment Inc 168 Expedition Dr Ellenwood GA 30294-2274 Ph: (770) 703-9008 |
| NPI Number | 1952169153 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952169153 | NPI | - | NPPES |
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