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Kaleidoscope: ADHD and Autism Assessment and Counseling LLC

Details

Name: Kaleidoscope: ADHD and Autism Assessment and Counseling LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Mar 2024 (10 months ago)
Entity Number: 001-128-815
Register Number: 001128815
ZIP code: 35630
County: Lauderdale
Place of Formation: Alabama
Registered Office Mailing Address: PO BOX 553Sheffield, AL 35660-0553
Registered Office Street Address: 623 South Seminary StreetFlorence, AL 35630

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275381618 2024-05-09 2024-05-09 PO BOX 553, SHEFFIELD, AL, 356600553, US 2132 6TH AVE SE STE 505, DECATUR, AL, 356016580, US

Contacts

Phone +1 205-789-0459
Phone +1 256-648-5624

Authorized person

Name DREW STEVEN KELLOUGH
Role OWNER
Phone 2057890459

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
Kellough, Drew S Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State