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Organization
KALEIDOSCOPE COUNSELING AND ASSESSMENT
Active
Organization
KALEIDOSCOPE COUNSELING AND ASSESSMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SMITH (OFFICE MANAGER)
(512) 981-8787
Entity
Organization
Contact information
Practice address
1705 S CAPITAL OF TEXAS HWY STE 130, AUSTIN, TX 78746-6587
(512) 981-8787
Mailing address
1705 S CAPITAL OF TEXAS HWY STE 130, AUSTIN, TX 78746-6587
(512) 981-8787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003341025
—
TX
05
—
1467750406
—
TX
05
—
1609251339
—
TX
05
—
1871700583
—
TX
05
—
1932346889
—
TX
Enumeration date
05/08/2019
Last updated
08/15/2019
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