Organization
KALEIDOSCOPE: ADHD AND AUTISM ASSESSMENT AND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW STEVEN KELLOUGH LICSW (OWNER)
(205) 789-0459
Entity
Organization
Contact information
Practice address
2132 6TH AVE SE STE 505, DECATUR, AL 35601-6580
(256) 648-5624
Mailing address
PO BOX 553, SHEFFIELD, AL 35660-0553
(205) 789-0459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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