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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