| Kaleidoscope Heart Counseling, Llc | |
|
12 Sundew Dr Belleville IL 62221-4356 | |
| (314) 282-5813 | |
| Not Available |
| Full Name | Kaleidoscope Heart Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12 Sundew Dr, Belleville, Illinois |
| Authorized Official Name and Position | Tanya Renee Koelker (OWNER) |
| Authorized Official Contact | 3142825813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Heart Counseling, Llc 12 Sundew Dr Belleville IL 62221-4356 Ph: (618) 581-8802 | Kaleidoscope Heart Counseling, Llc 12 Sundew Dr Belleville IL 62221-4356 Ph: (314) 282-5813 |
| NPI Number | 1376378562 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376378562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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