| Organization Name: | CHRYSALIS COUNSELING SERVICES PLLC |
| NPI Number: | 1184036097 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIANA K TYLER (LICENSED MENTAL HEALTH COUNSELOR) |
| Mailing Address: | 627 5th St Ste 201 Mukilteo |
| State: | WA US |
| Postal Code: | 982751580 |
| Phone Number: | 2066040996 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2014 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH 00011082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |