Organization
CHRYSALLIS WELLNESS CENTER INC
Active
Other names
Chrysallis Wellness Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIE CARMELLE BOISBEL LMHC (VICE PRESIDENT)
(239) 738-4307
Entity
Organization
Contact information
Practice address
11932 FAIWAY LAKES, FORT MYERS, FL 33913
(239) 738-0926
Mailing address
11932 FAIWAY LAKES, FORT MYERS, FL 33913
(239) 738-0926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
04/07/2020
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