| Kaleidoscope Counseling & Case Management, Llc | |
|
1712 Airline Blvd Portsmouth VA 23707-3911 | |
| (757) 535-9153 | |
| (757) 966-9255 |
| Full Name | Kaleidoscope Counseling & Case Management, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1712 Airline Blvd, Portsmouth, Virginia |
| Authorized Official Name and Position | Francesca Maria Dillard-moore (CHIEF EXECUTIVE OFFICER/OWNER) |
| Authorized Official Contact | 7575359153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Counseling & Case Management, Llc P.o. Box 574 Portsmouth VA 23705-0574 Ph: (757) 535-9153 | Kaleidoscope Counseling & Case Management, Llc 1712 Airline Blvd Portsmouth VA 23707-3911 Ph: (757) 535-9153 |
| NPI Number | 1235511809 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235511809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
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