Organization
BLUE CHRYSALIS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA SHADOWENS MSW, LISW (OWNER)
(513) 218-2828
Entity
Organization
Contact information
Practice address
1435 VINE ST STE 509, CINCINNATI, OH 45202-7094
(513) 327-8878
Mailing address
325 PARKTRACE CT, CINCINNATI, OH 45238-6296
(513) 218-2828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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