# KALEIDOSCOPE BEHAVIORAL HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780165415
- **Authorized official:** SARAH ANDERSON LICSW (THERAPIST)
- **Authorized official phone:** (701) 580-0846

## Contact information

- **Practice address:** 511 2ND ST W STE B, WILLISTON, ND 58801-5907
- **Practice address phone:** (701) 580-0846
- **Mailing address:** 511 2ND ST W STE B, WILLISTON, ND 58801-5907
- **Mailing address phone:** (701) 580-0846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4168 | ND | Yes |

## Other

- **Enumeration date:** 08/21/2018
- **Last updated:** 08/21/2018