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NPI Code Detail

MEDICARE: FULL CIRCLE COUNSELING GROUP, PLLC

MEDICARE: FULL CIRCLE COUNSELING GROUP, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorS7725NC

General Provider Information

NPI Number : 1659887602
Entity Type Code : Organization
Provider Name (Legal Business Name) : FULL CIRCLE COUNSELING GROUP, PLLC
Provider Business Mailing Address
First Line : 1915 GEORGE ST
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-2948
Country : US
Telephone Number : 828-222-0401
Fax Number : 888-595-9450
Provider Business Practice Location Address
First Line : 1915 GEORGE ST
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-2948
Country : US
Telephone Number : 828-222-0401
Fax Number : 888-595-9450
Authorized Official
Title or Position : MEMBER/MANAGER
Name : MATTHEW SNYDER
Credential : PSYD
Telephone Number : 828-222-0401
Provider Enumeration Date : 12/28/2017
Last Update Date : 08/26/2019

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