| A Kaleidoscope Mind Pllc | |
|
144 N Cherry St Ste 4 Kernersville NC 27284-2800 | |
| (336) 515-3630 | |
| Not Available |
| Full Name | A Kaleidoscope Mind Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 144 N Cherry St Ste 4, Kernersville, North Carolina |
| Authorized Official Name and Position | Jody L Nash (OWNER) |
| Authorized Official Contact | 3365771759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Kaleidoscope Mind Pllc 2142 Cherrywood Dr Clemmons NC 27012-9388 Ph: (336) 577-1759 | A Kaleidoscope Mind Pllc 144 N Cherry St Ste 4 Kernersville NC 27284-2800 Ph: (336) 515-3630 |
| NPI Number | 1548919418 |
|---|---|
| Provider Enumeration Date | 03/19/2022 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548919418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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