Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chrysalis Center for Counseling and Eating Disorder Treatment PLLC

Organization Psychologist · NPI 1891865218

Chrysalis Center for Counseling and Eating Disorder Treatment PLLC is a Psychologist in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3240 Burnt Mill Dr Ste 1
Wilmington, NC 28403-2570
Phone: (910) 790-9500
Fax: (910) 796-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2805 (NC)
Counseling Psychologist Taxonomy 103TC1900X · Licence LPC6828 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C006434 (NC)
Registered Dietitian Taxonomy 133V00000X · Licence L003399 (NC)

Record details

NPI number1891865218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Macon Funderburk — Office Manager · (910) 790-9500
NPI enumeratedNovember 9, 2006
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address3240 Burnt Mill Dr Ste 101, Wilmington, NC 28403-2576

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