Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chrysalis Utah, Inc

Organization Mental Health Counselor · NPI 1356843114

Chrysalis Utah, Inc is a Mental Health Counselor in Provo, Utah. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1507 S 180 E
Provo, UT 84606-5570
Phone: (801) 426-6661
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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

Record details

NPI number1356843114
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChrysalis Utah, Inc
Authorized official Richard Slack — Cfo · (801) 655-4950
NPI enumeratedMarch 7, 2018
Last updated in NPPESMarch 7, 2018
Mailing address1443 W 800 N Ste 103, Orem, UT 84057-2878

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