Kaleidoscope Counseling & Wellness, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Tucson, AZ. Organization (NPI-2).
NPI number1104598960
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1104598960
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaleidoscope Counseling & Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2021
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
5406 S Black Falls DrTucson, AZ 85747-6087
Phone 520-222-6724
Mailing address
Po Box 17347Tucson, AZ 85731-7347
Authorized official
Michelle Rosenbalm
Private Practice Owner / Therapist
5202226724
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