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Organization
KHRYSALIS EMPOWERMENT INC.
Active
Organization
KHRYSALIS EMPOWERMENT INC.
Active
Other names
KHRYSALIS EMPOWERMENT INC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANN SHAHID (CEO/FOUNDER)
(770) 703-9008
Entity
Organization
Contact information
Practice address
168 EXPEDITION DR, ELLENWOOD, GA 30294-2274
(770) 703-9008
Mailing address
168 EXPEDITION DR, ELLENWOOD, GA 30294-2274
(770) 703-9008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/12/2024
Last updated
06/08/2026
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