Khrysalis Empowerment Inc

LBN: Khrysalis Empowerment Inc
Khrysalis Empowerment Inc is an health care organization with primary practice located at 168 Expedition Dr , Ellenwood GA 30294-2274. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Khrysalis Empowerment Inc can be contacted via phone (770) 703-9008, or through Shahid Holley, Diann via phone (770) 703-9008.

Contact Information

Primary practice address
168 Expedition Dr Ellenwood GA 30294-2274
Phone: (770) 703-9008
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shahid Holley, Diann
Phone: (770) 703-9008

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Case Management 251B00000X
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1952169153
LBN Legal business name Khrysalis Empowerment Inc
DBA Doing business as Khrysalis Empowerment Inc
Authorized official Shahid Holley, Diann
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2024
Last updated May 30th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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