Organization
CHRYSALIS HEALTH OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO-ANN PRISCO (VP OF CONTRACTS)
(772) 216-3031
Entity
Organization
Contact information
Practice address
1524 SUNSET BLVD STE A, STEUBENVILLE, OH 43952-1380
(800) 691-6113
(740) 264-2422
Mailing address
1524 SUNSET BLVD STE A, STEUBENVILLE, OH 43952-1380
(800) 691-6113
(740) 264-2422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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