Organization
MICHELLE KYLES DBA KALEIDOSCOPE WELLNESS LLC
Active
Parent organization
MICHELLE KYLES
Other names
MICHELLE KYLES, Kaleidoscope Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHELLE KYLES
Authorized official
TARYN ANNE FLETCHER (BILLING SPECIALIST)
(804) 625-0245
Entity
Organization
Contact information
Practice address
6714 PATTERSON AVE STE 101, RICHMOND, VA 23226-3432
(804) 517-5110
Mailing address
6714 PATTERSON AVE STE 101, RICHMOND, VA 23226-3432
(336) 671-6605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1676302037
DBHDS
VA
05
—
30017683810001
—
VA
05
—
30018412840002
—
VA
05
—
30018412840003
—
VA
Enumeration date
08/12/2025
Last updated
02/18/2026
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