| NPI | 1669358248 |
|---|---|
| Other Name | MICHELLE KYLES |
| Doing Business As | KALEIDOSCOPE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TARYN ANNE FLETCHER Billing Specialist 804-625-0245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2026-02-18 |