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General NPI Number Information
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NPI Number | 1790575306
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE PSYCHOLOGY LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 93 W FRANKLIN ST STE 205
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City | CENTERVILLE
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State | OH
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Zip | 45459-4761
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Country | US
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Telephone | 520-262-0358
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Fax |
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Provider Business Mailing Address
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Address Line | 93 W FRANKLIN ST STE 205
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City | CENTERVILLE
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State | OH
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Zip | 45459-4761
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Country | US
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Telephone | 520-262-0358
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | BARBARA HIGH-DANIELS
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Credential |
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Telephone | 520-262-0358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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