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 Mental Health Counselor · NPI 1952834640

Chrysalis Center for Counseling and Eating Disorder Treatment PLLC is a Mental Health Counselor in Wilmington, North Carolina. Registered with an NPI since 2017.

In the registry since
2017
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 28403-2576
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

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1952834640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Macon Funderburk — Office Manager · (910) 790-9500
NPI enumeratedApril 10, 2017
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address3240 Burnt Mill Dr, Suite 1, Wilmington, NC 28403-2576

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