NPI 1285013599

Kaleidoscope Counseling & Case Management LLC

Organisation Preferred Provider Organization Portsmouth, VA

Practice location

Address: 1712 Airline Blvd, Portsmouth, VA 23707-3911
Phone: (757) 535-9153
Fax: (757) 966-9255

Authorised official

Name: Francesca Maria Dillard-Moore
Title: Ceo/ Co-Owner
Phone: (757) 535-9153

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1285013599
Entity type: Organization
NPI issued: 20 May 2015
Record last updated: 17 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.