| Kaleidoscope: Adhd And Autism Assessment And Counseling Llc | |
|
2132 6th Ave Se Ste 505 Decatur AL 35601-6580 | |
| (256) 648-5624 | |
| Not Available |
| Full Name | Kaleidoscope: Adhd And Autism Assessment And Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2132 6th Ave Se Ste 505, Decatur, Alabama |
| Authorized Official Name and Position | Drew Steven Kellough (OWNER) |
| Authorized Official Contact | 2057890459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope: Adhd And Autism Assessment And Counseling Llc Po Box 553 Sheffield AL 35660-0553 Ph: (205) 789-0459 | Kaleidoscope: Adhd And Autism Assessment And Counseling Llc 2132 6th Ave Se Ste 505 Decatur AL 35601-6580 Ph: (256) 648-5624 |
| NPI Number | 1275381618 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275381618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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