Khrysalis Empowerment Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KHRYSALIS EMPOWERMENT INC.

Practice address

168 Expedition Dr
Ellenwood, GA 30294-2274

Phone

(770) 703-9008

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Diann Shahid

Title

Ceo/Founder

Phone

(770) 703-9008

Specialties & licenses 4

Addresses

Other names 1

• KHRYSALIS EMPOWERMENT INC Doing business as

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1952169153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 EXPEDITION DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942274",
            "telephone_number": "770-703-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 EXPEDITION DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942274",
            "telephone_number": "770-703-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHRYSALIS EMPOWERMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "DIANN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "770-703-9008"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KHRYSALIS EMPOWERMENT INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.