Organization
CHRYSALIS WELLNESS AND CONSULTING GROUP LLC
Active
Organization
CHRYSALIS WELLNESS AND CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN MOORE (LCPC)
(312) 799-9810
Entity
Organization
Contact information
Practice address
159 N SANGAMON ST STE 200, CHICAGO, IL 60607-2201
(312) 799-9810
(312) 500-0409
Mailing address
159 N SANGAMON ST STE 200, CHICAGO, IL 60607-2201
(312) 799-9810
(312) 500-0409
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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