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NPI Code Detail

MEDICARE: FULL CIRCLE COUNSELING SOLUTIONS LLC

MEDICARE: FULL CIRCLE COUNSELING SOLUTIONS LLC
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 Counselor
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency11085MT
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558491399
Entity Type Code : Organization
Provider Name (Legal Business Name) : FULL CIRCLE COUNSELING SOLUTIONS LLC
Provider Business Mailing Address
First Line : 100 CONSUMER DIRECT WAY
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5037
Country : US
Telephone Number : 866-438-8591
Fax Number : 406-532-1922
Provider Business Practice Location Address
First Line : 100 CONSUMER DIRECT WAY
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5037
Country : US
Telephone Number : 866-438-8591
Fax Number : 406-532-1922
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : KATIE TROTTER
Credential :
Telephone Number : 406-532-1931
Provider Enumeration Date : 03/07/2007
Last Update Date : 06/26/2018

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Directions to “FULL CIRCLE COUNSELING SOLUTIONS LLC ” Practice Location

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