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Organization
CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC
Active
Organization
CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS HUNTER (DIRECTOR OF PROFESSIONAL RELATIONS)
(910) 790-9500
Entity
Organization
Contact information
Practice address
3240 BURNT MILL DR STE 1, WILMINGTON, NC 28403-2570
(910) 790-9500
(910) 796-8111
Mailing address
3240 BURNT MILL DR STE 101, WILMINGTON, NC 28403-2576
(910) 790-9500
(910) 796-8111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002681
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018AM
BCBSNC
NC
01
—
355080
MHN/TRICARE
—
Enumeration date
01/11/2011
Last updated
08/21/2024
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