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

Krysalis Therapy, Licensed Professional Clinical Counselor, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1972457638

Krysalis Therapy, Licensed Professional Clinical Counselor, Inc is an Addiction (Substance Use Disorder) Counselor in Lilburn, Georgia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
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

3589 Jaydee Ct
Lilburn, GA 30047-6909
Phone: (669) 244-2329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1972457638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roshin Kaduthanathu Abraham — President · (669) 244-2329
NPI enumeratedFebruary 20, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address1111 6th Ave Ste 550, San Diego, CA 92101-5211

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