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Organization
KALEIDOSCOPE COGNITIVE LEARNING CENTER LLC
Active
Organization
KALEIDOSCOPE COGNITIVE LEARNING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANDRA MOTHLAND SUTTON CACII (CEO/SUBSTANCE ABUSE COUNSELOR)
(770) 403-9582
Entity
Organization
Contact information
Practice address
2090 DEL LAGO CIR NW, KENNESAW, GA 30152-8285
(770) 403-9582
Mailing address
2090 DEL LAGO CIR NW, KENNESAW, GA 30152-8285
(770) 403-9582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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