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Chrysalis Center for Counseling and Eating Disorder Treatment Pllc

Psychologist in Wilmington, NC · enumerated 2006 · authorized official Macon Funderburk, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891865218

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Registry record

Entity type Organization (Type 2)
Legal business name Chrysalis Center for Counseling and Eating Disorder Treatment Pllc
Practice address 3240 Burnt Mill Dr Ste 1, Wilmington, NC, 28403
Fax (910) 796-8111
Enumeration date Nov 9, 2006
Last updated in NPPES Aug 21, 2024

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers · License 2805 (NC) Primary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers · License LPC6828 (NC) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C006434 (NC) Secondary
133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License L003399 (NC) Secondary

Authorized official

Name Macon Funderburk
Title Office Manager

Other identifiers

Identifier Type State Issuer
355080 Other NC MHN/TRICARE
018AM Other NC BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Chrysalis Center for Counseling and Eating Disorder Treatment Pllc located?
The practice location on file with NPPES is in Wilmington, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-21.