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Organization
CHRYSALLIS WELLNESS CENTER
Active
Organization
CHRYSALLIS WELLNESS CENTER
Active
Other names
Chrysallis Wellness Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SCARLETT OLIVARES (OWNER)
(239) 223-2751
Entity
Organization
Contact information
Practice address
11932 FAIRWAY LAKES DR, FORT MYERS, FL 33913-8337
(239) 237-2801
(239) 771-8327
Mailing address
11932 FAIRWAY LAKES DR, FORT MYERS, FL 33913-8337
(239) 237-2801
(239) 771-8327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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