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General NPI Number Information
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NPI Number | 1659887602
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE COUNSELING GROUP, PLLC
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 1915 GEORGE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-2948
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Country | US
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Telephone | 828-222-0401
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Fax | 888-595-9450
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Provider Business Mailing Address
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Address Line | 1915 GEORGE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-2948
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Country | US
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Telephone | 828-222-0401
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Fax | 888-595-9450
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MATTHEW SNYDER
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Credential | PSYD
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Telephone | 828-222-0401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | S7725
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License Number State | NC
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