Organization
KALEIDOSCOPE SOLUTIONS LLC
Active
Other names
Kaleidoscope Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOIS WALTERS-THREAT DNP, APRN, PMHNP-BC (CEO)
(804) 299-5590
Entity
Organization
Contact information
Practice address
2111 MILLER AVE, RICHMOND, VA 23222-4339
(804) 299-5590
Mailing address
7330 STAPLES MILL RD STE 285, RICHMOND, VA 23228-4122
(804) 299-5590
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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