| Chrysalis Counseling, P. C. | |
|
3609 Cedar Springs Rd Dallas TX 75219-4905 | |
| (214) 528-3007 | |
| Not Available |
| Full Name | Chrysalis Counseling, P. C. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3609 Cedar Springs Rd, Dallas, Texas |
| Authorized Official Name and Position | Carol Mcewen Phelps (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 2145283007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Counseling, P. C. 3609 Cedar Springs Rd Dallas TX 75219-4905 Ph: (214) 528-3007 | Chrysalis Counseling, P. C. 3609 Cedar Springs Rd Dallas TX 75219-4905 Ph: (214) 528-3007 |
| NPI Number | 1790997385 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 10/09/2009 |
| Medicare PECOS PAC ID | 2961928015 |
|---|---|
| Medicare Enrollment ID | O20250501000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790997385 | NPI | - | NPPES |
| 028556101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2035 (Texas) | Primary |
| Provider Name | Carol Phelps |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245249564 PECOS PAC ID: 3870019920 Enrollment ID: I20250501001195 |
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