Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Chrysalis Center for Counseling and Eating Disorder Treatment PLLC

Organization Psychologist · NPI 1891865218

Chrysalis Center for Counseling and Eating Disorder Treatment PLLC provides Psychologist services in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3240 Burnt Mill Dr Ste 1
Wilmington, NC 28403-2570
Phone: (910) 790-9500
Fax: (910) 796-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2805 (NC)
Counseling Psychologist Taxonomy 103TC1900X · Licence LPC6828 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C006434 (NC)
Registered Dietitian Taxonomy 133V00000X · Licence L003399 (NC)

Record details

NPI number1891865218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Macon Funderburk — Office Manager · (910) 790-9500
NPI enumeratedNovember 9, 2006
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address3240 Burnt Mill Dr Ste 101, Wilmington, NC 28403-2576

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