KALEIDOSOUL LLC
NPI 1407594658
Counselor - Professional in Fayetteville, GA

Q: What is Kaleidosoul LLC's NPI number?

The NPI number for Kaleidosoul LLC is 1407594658. It was assigned to this organization in the NPPES registry on May 26, 2022.

Q: What is Kaleidosoul LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kaleidosoul LLC was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2022

220 LANIER AVE E STE 7, FAYETTEVILLE, GA 30214(678) 545-6692(678) 519-5673 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Sep 12, 2022, Aug 25, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Kaleidosoul Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALEIDOSOUL LLC (NPI 1407594658) is a healthcare organization registered as a professional in Fayetteville, Georgia and active in the NPI registry since May 2022. The organization lists Stacey Nicole Paxton, Owner, as its authorized official.

NPPES Registry Identity

NPI1407594658

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameKALEIDOSOUL LLC

Location Address220 LANIER AVE E STE 7Fayetteville, GA 30214-1604

Mailing Address220 Lanier Ave E Ste 7Fayetteville, GA 30214-1604 · (678) 545-6692 · Fax (678) 519-5673

Phone(678) 545-6692

Fax(678) 519-5673

Organization SubpartNo

Authorized OfficialStacey Nicole PaxtonOwner · (785) 456-6926

Enumeration DateMay 26, 2022

Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1407594658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

220 LANIER AVE E STE 7, Fayetteville, GA 30214

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STACEY NICOLE PAXTON LPC

Counselor (Professional)

220 LANIER AVE E STE 7
FAYETTEVILLE, GA 30214

Fayette County (678) 545-6692

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaleidosoul LLC's NPI number?

The NPI number for Kaleidosoul LLC is 1407594658. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Kaleidosoul LLC located?

Kaleidosoul LLC is located at 220 Lanier Ave E Ste 7, Fayetteville, GA 30214. The listed phone number is (678) 545-6692.

What is Kaleidosoul LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kaleidosoul LLC was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.