THE CHRYSALIS CENTER, LLC (NPI# 1710403852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710403852 |
| Entity Type | Organization |
| Organization Name | THE CHRYSALIS CENTER, LLC |
| Other Organization Name | CHRYSALIS YOUTH & FAMILY SOLUTIONS, LLC |
| Practice Address |
2900 Westfork Dr Ste 401 Baton Rouge LA 70827 |
| Mailing Address |
10380 Perkins Road #84685 Baton Rouge LA 70884-5397 |
| Practice Telephone | 2256039810 |
| Mailing Telephone | 2256039810 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | SHAMEKA MITCHELL (OWNER) |
| Authorized Official Telephone | 2256039810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chrysalis Youth & Family Solutions, LLC | Former Legal Business Name - Organization |
| Street Address |
2900 WESTFORK DR STE 401 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811289390 | Mission Medical Group of Louisiana LLC | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2011-05-03 |
| 1912511007 | Shameka Mitchell | Social Worker | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-09-04 |
| 1275142325 | Thomas G Greer | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-07-24 |
| 1770101883 | Pure Mind Counseling & Wellness | Community/Behavioral Health | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-07-07 |
| 1912533613 | D&t Med La, LLC | Non-emergency Medical Transport (VAN) | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-03-13 |
| 1447882162 | Kristen M. Hill | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-02-11 |
| 1487299715 | National Youth Advocate Program, Inc | Foster Care Agency | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-11-11 |
| 1851942841 | Mattie & Associates | Internal Medicine | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-09-22 |
| 1366998015 | Myisha Joseph | Counselor | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003350489 | Central Ophthalmic & Medical Billing Services LLC | Technician/Technologist | 2900 West Fork Dr, Suite 401, Baton Rouge, LA 70827 | 2016-12-05 |
| 1972602662 | Monitetra M King | Social Worker | 2900 W Fork Dr, Suite 200, Baton Rouge, LA 70827 | 2006-09-21 |
| 1336138304 | Glenn N Jones | Psychologist | 2900 Westfork Dr, Suite 200, Baton Rouge, LA 70827-0004 | 2005-10-20 |
| 1538399704 | Louisiana Phs LLC | Family Medicine | 2900 Westfork Dr, Suite 401, Baton Rouge, LA 70827-0004 | 2009-07-21 |
| 1023654134 | A and T Aziz Enterprises, LLC | Meals | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2019-11-24 |
| 1487201562 | Wilbert Dangerfield | Non-emergency Medical Transport (VAN) | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2019-08-22 |
| 1831565589 | Karen Jones | Nurse Practitioner | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2015-08-18 |
| 1710360615 | Brittney Howell | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-07-09 |
| 1164801965 | Kristin Kennedy | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-05-26 |
| 1295088326 | Tri Parish Medical Services Inc | Private Vehicle | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2012-10-26 |
| Find all providers in zip 70827 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378764 | Recovery Innovations, Inc | Clinic/Center | 3455 Florida St, Baton Rouge, LA 70806-3764 | 2020-05-21 |
| 1033738562 | 360 Recovery Group LLC | Clinic/Center | 4184 North Blvd, Baton Rouge, LA 70806-3911 | 2020-04-14 |
| 1043878788 | Made Whole Counseling, LLC | Clinic/Center | 9466 Greenwell Springs Rd, Baton Rouge, LA 70814-2911 | 2019-05-29 |
| 1134606692 | Journey To Insight | Clinic/Center | 10508 N Glenstone Pl, Baton Rouge, LA 70810-2838 | 2018-07-26 |
| 1629460456 | Restore Outreach Center | Clinic/Center | 2415 Government St, Baton Rouge, LA 70806-5318 | 2015-03-03 |
| 1457771875 | The Wise Fox Corporation | Clinic/Center | 18634 Bay Ridge Ct, Baton Rouge, LA 70817-1802 | 2014-04-24 |
| 1518399229 | Restoration Community Services LLC | Clinic/Center | 3044 Elgin St, Baton Rouge, LA 70805-7311 | 2013-08-05 |
| 1952507782 | Generations Behavioral Health, Inc. | Clinic/Center | 10425 Plaza Americana Dr, Baton Rouge, LA 70816-8188 | 2007-06-27 |
| 1679775787 | Shout Out Usa | Clinic/Center | 547 N Carrollton Ave, Baton Rouge, LA 70806-2702 | 2007-06-01 |
| 1013127166 | Serenity Center LLC | Clinic/Center | 1023 N Lobdell Ave, Baton Rouge, LA 70806-2233 | 2007-05-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70827 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.