Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaleidosoul LLC

Organization Professional Counselor · NPI 1407594658

Kaleidosoul LLC is a Professional Counselor in Fayetteville, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

220 Lanier Ave E Ste 7
Fayetteville, GA 30214-1604
Phone: (678) 545-6692
Fax: (678) 519-5673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1407594658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Nicole Paxton — Owner · (785) 456-6926
NPI enumeratedMay 26, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022
Mailing address220 Lanier Ave E Ste 7, Fayetteville, GA 30214-1604

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