Provider Demographics
| NPI: | 1265078489 |
|---|---|
| Name: | KALEIDOSCOPE COUNSELING LLC |
| Entity type: | Organization |
| Organization Name: | KALEIDOSCOPE COUNSELING LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | LICENSED PROFESSIONAL COUNSELOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KARIN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MURPHY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LPC |
| Authorized Official - Phone: | 484-754-6316 |
| Mailing Address - Street 1: | 350 S MAIN ST STE 306 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | DOYLESTOWN |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 18901-4873 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 484-754-6316 |
| Mailing Address - Fax: | 484-209-0765 |
| Practice Address - Street 1: | 350 S MAIN ST STE 306 |
| Practice Address - Street 2: | |
| Practice Address - City: | DOYLESTOWN |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 18901-4873 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 484-754-6316 |
| Practice Address - Fax: | 484-209-0765 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-11-22 |
| Last Update Date: | 2023-05-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |