Full Circle Counseling Pllc | |
4640 S 3500 W Ste 4 West Haven UT 84401-6522 | |
(801) 603-4792 | |
Not Available |
Full Name | Full Circle Counseling Pllc |
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Speciality | Community/Behavioral Health |
Location | 4640 S 3500 W Ste 4, West Haven, Utah |
Authorized Official Name and Position | Susan Hodges (OWNER) |
Authorized Official Contact | 8016034792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Full Circle Counseling Pllc 4640 S 3500 W Ste 4 West Haven UT 84401-6522 Ph: () - | Full Circle Counseling Pllc 4640 S 3500 W Ste 4 West Haven UT 84401-6522 Ph: (801) 603-4792 |
NPI Number | 1972192631 |
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Provider Enumeration Date | 01/15/2021 |
Last Update Date | 01/15/2021 |
Certification Date | 01/15/2021 |
Medicare PECOS PAC ID | 8628485133 |
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Medicare Enrollment ID | O20210330001540 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972192631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Susan Hodges |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104333673 PECOS PAC ID: 1355758863 Enrollment ID: I20210330001617 |
Provider Name | Alexandra Louise Seng |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912440926 PECOS PAC ID: 1355791393 Enrollment ID: I20240103001184 |
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