| Krysalis Therapy, Licensed Professional Clinical Counselor, Inc | |
|
3589 Jaydee Ct Lilburn GA 30047-6909 | |
| (669) 244-2329 | |
| Not Available |
| Full Name | Krysalis Therapy, Licensed Professional Clinical Counselor, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3589 Jaydee Ct, Lilburn, Georgia |
| Authorized Official Name and Position | Roshin Kaduthanathu Abraham (PRESIDENT) |
| Authorized Official Contact | 6692442329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krysalis Therapy, Licensed Professional Clinical Counselor, Inc 1111 6th Ave Ste 550 San Diego CA 92101-5211 Ph: (669) 244-2329 | Krysalis Therapy, Licensed Professional Clinical Counselor, Inc 3589 Jaydee Ct Lilburn GA 30047-6909 Ph: (669) 244-2329 |
| NPI Number | 1972457638 |
|---|---|
| Provider Enumeration Date | 02/20/2026 |
| Last Update Date | 02/23/2026 |
| Certification Date | 02/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972457638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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