Organization
CHRYSALIS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JOANNE GROSS LMSW (OWNER)
(517) 290-4846
Entity
Organization
Contact information
Practice address
628 E PARENT AVE STE 505, ROYAL OAK, MI 48067-3769
(313) 451-0305
Mailing address
1491 SPENCER ST, FERNDALE, MI 48220-3505
(517) 290-4846
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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