Provider Demographics
NPI:1457726820
Name:KISCADEN COUNSELING SERVICES
Entity Type:Organization
Organization Name:KISCADEN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KISCADEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-308-5277
Mailing Address - Street 1:632 DELANEY AVE APT A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3853
Mailing Address - Country:US
Mailing Address - Phone:407-308-5277
Mailing Address - Fax:407-429-3802
Practice Address - Street 1:12301 LAKE UNDERHILL RD STE 267
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4513
Practice Address - Country:US
Practice Address - Phone:407-308-5277
Practice Address - Fax:407-429-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty