Innerchange Chrysalis, LLC

NPI #1417794306 in Eureka, Montana

Provider Information

NPI Number: 1417794306
Entity Type: Organization
Organization Name: Innerchange Chrysalis, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: INNERCHANGE CHRYSALIS, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 9, 2024
Last Updated: Apr 18, 2025

Practice Location

Address: 130 DEANNA TRACTS RD
City: Eureka
State: Montana
ZIP Code: 59917-9039
Phone: (406) 889-5577

Authorized Official

Name: SHARNELL SPENCER
Title: CREDENTIALING MANAGER
Phone: (661) 239-6923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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