Organization
KALEIDOSCOPE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA LEIGH SHOREY LISW-CP/S (OWNER/PROVIDER)
(864) 485-2500
Entity
Organization
Contact information
Practice address
2153 E MAIN ST, C14 #385, DUNCAN, SC 29334-8724
(864) 590-1077
Mailing address
7280 REIDVILLE RD, SUITE B, WOODRUFF, SC 29388-9792
(864) 485-2500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4594
SC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1141
—
SC
Enumeration date
12/09/2016
Last updated
08/06/2020
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