Organization · Type 2 NPI

Innerchange Chrysalis, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Eureka, MT

NPI number 1417794306 Active

Practice location

130 Deanna Tracts Rd
Eureka, MT 59917-9039

Call (406) 889-5577 Map

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1417794306
Entity type: Organization (Type 2)
Issued: Jul 9, 2024
Last updated: Apr 18, 2025
Status: Active
Subpart: Yes of Innerchange Chrysalis, LLC

Other names

<unavail>
Chrysalis · other name
Chrysalis · other name

Authorized official

Sharnell Spencer
Credentialing Manager
(661) 239-6923

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417794306

Innerchange Chrysalis, LLC's National Provider Identifier is 1417794306, issued on Jul 9, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Eureka, MT. The record was last updated on Apr 18, 2025.