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General NPI Number Information
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NPI Number | 1912865825
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Entity Type | Organization
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Legal Business Name | CIRCLE OF SERENITY MENTAL HEALTH & RECOVERY, LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 26250 EUCLID AVE
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City | EUCLID
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State | OH
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Zip | 44132-3305
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Country | US
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Telephone | 216-245-2823
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Fax |
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Provider Business Mailing Address
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Address Line | 26250 EUCLID AVE STE 901
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City | EUCLID
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State | OH
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Zip | 44132-3696
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Country | US
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Telephone | 216-245-2823
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIA FULLERTON
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Credential | APRN, PMHNP-BC
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Telephone | 216-245-2823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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