Organization
KALEIDOSCOPE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HASE LICSW (OWNER)
(256) 886-9443
Entity
Organization
Contact information
Practice address
113 LONGWOOD DR SW STE C, HUNTSVILLE, AL 35801-4511
(256) 886-9443
Mailing address
113 LONGWOOD DR SW STE C, HUNTSVILLE, AL 35801-4511
(256) 886-9443
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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