P Praxis·MD
● Active Type 2 · Organization

Kaleidosoul Llc

Counselor·Fayetteville, GA· NPI 1407594658 · Enumerated 2022 · 3 years on NPI
Kaleidosoul Llc is 1 of 7547 counselor organizations in Georgia.
NPI age
3 years
Enumerated 2022-05-26
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Paxton
Owner
Last NPPES update
2022-09-21
Source: monthly bulk 2026-05

How this organization compares

Across 7547 active counselor providers in Georgia.

NPI age
3 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-05Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
220 Lanier Ave E Ste 7
Fayetteville, GA 302141604
📞 6785456692fax 6785195673
Mailing address
220 Lanier Ave E Ste 7
Fayetteville, GA 302141604
📞 6785456692fax 6785195673

Authorized official

Stacey Nicole Paxton, LPC, CAMS,CMAC
Owner
📞 7854566926

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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