Chrysalis Center for Counseling and Eating Disorder Treatment PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L002681 Issued in NC

Legal business name

CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC

Practice address

3240 Burnt Mill Dr Ste 1
Wilmington, NC 28403-2570

Phone

(910) 790-9500

Fax

(910) 796-8111

NPI assigned

Jan 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexis Hunter

Title

Director of Professional Relations

Phone

(910) 790-9500

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Chrysalis Center for Counseling and Eating Disorder Treatment PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC

  • Psychologist
  • Wilmington, NC
  • NPI 1891865218
  NPD tax ID
• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1952834640
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1073818704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 BURNT MILL DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032576",
            "telephone_number": "910-790-9500",
            "fax_number": "910-796-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 BURNT MILL DR STE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032570",
            "telephone_number": "910-790-9500",
            "fax_number": "910-796-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "DIRECTOR OF PROFESSIONAL RELATIONS",
        "authorized_official_telephone_number": "910-790-9500"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "018AM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN/TRICARE",
            "identifier": "355080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Kiser Christmas
• Christopher C Young DPM
• Eric James Christopher, M.D.
• Kerry M Christopher, LCSW
• Chromatic Counseling PLLC
• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC
• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC
• Chrysalis Home Care LLC
• Sarah Chudacek
• Mia Gabrielle Chung

• Registered Dietitian in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.