| Kaleidoscope Cares Therapeutic Services | |
|
312 W Millbrook Rd Ste 121 Raleigh NC 27609-4398 | |
| (919) 792-8831 | |
| (919) 238-8831 |
| Full Name | Kaleidoscope Cares Therapeutic Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 312 W Millbrook Rd Ste 121, Raleigh, North Carolina |
| Authorized Official Name and Position | Monique L Parr (OWNER) |
| Authorized Official Contact | 9197928831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Cares Therapeutic Services 312 W Millbrook Rd Ste 121 Raleigh NC 27609-4398 Ph: (919) 792-8831 | Kaleidoscope Cares Therapeutic Services 312 W Millbrook Rd Ste 121 Raleigh NC 27609-4398 Ph: (919) 792-8831 |
| NPI Number | 1972260743 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972260743 | NPI | - | NPPES |
| 1093225159 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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