# NEW CHRYSALIS COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIANNA LEE GILMORE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750950515
- **Legal business name:** DIANNA LEE GILMORE
- **Authorized official:** DIANNA LEE GILMORE (OWNER)
- **Authorized official phone:** (303) 253-5770

## Contact information

- **Practice address:** 14201 E 4TH AVE STE 110, AURORA, CO 80011-8901
- **Practice address phone:** (303) 253-5770
- **Practice address fax:** (303) 993-5278
- **Mailing address:** 14201 E 4TH AVE STE 110, AURORA, CO 80011-8901
- **Mailing address phone:** (303) 253-5770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2021
- **Last updated:** 06/24/2021