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NPI Code Detail

MEDICARE: KALEIDOSCOPE COUNSELING, LLC

MEDICARE: KALEIDOSCOPE COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1982559860
Entity Type Code : Organization
Provider Name (Legal Business Name) : KALEIDOSCOPE COUNSELING, LLC
Provider Business Mailing Address
First Line : PO BOX 750250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89136-0250
Country : US
Telephone Number : 406-850-3085
Fax Number :
Provider Business Practice Location Address
First Line : 9402 W LAKE MEAD BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-8312
Country : US
Telephone Number : 406-850-3085
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : SICILY NICOLE MORRIS
Credential : LCPC
Telephone Number : 406-850-3085
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “KALEIDOSCOPE COUNSELING, LLC ” Practice Location

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