P Praxis·MD
● Active Type 2 · Organization

Khrysalis Empowerment Inc

Counselor·Ellenwood, GA· NPI 1952169153 · Enumerated 2024 · 2 years on NPI
Khrysalis Empowerment Inc is 1 of 5527 counselor organizations in Georgia.
NPI age
2 years
Enumerated 2024-03-12
Primary specialty
Counselor
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shahid Holley
Ceo/founder
Last NPPES update
2024-05-30
Source: monthly bulk 2026-05

How this organization compares

Across 5527 active counselor providers in Georgia.

NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 16% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-03Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
168 Expedition Dr
Ellenwood, GA 302942274
📞 7707039008
Mailing address
168 Expedition Dr
Ellenwood, GA 302942274
📞 7707039008

Authorized official

Diann Shahid Holley
Ceo/founder
📞 7707039008

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X
  • Case Management
    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
    taxonomy 251B00000X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X
  • Voluntary or Charitable
    Definition to come...
    taxonomy 251V00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • KHRYSALIS EMPOWERMENT INC
    Type code 3 recorded 2024-04-04

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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