| Full Circle Psychology, Llc | |
|
324 E Main St Northville MI 48167-7400 | |
| (734) 812-4577 | |
| Not Available |
| Full Name | Full Circle Psychology, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 324 E Main St, Northville, Michigan |
| Authorized Official Name and Position | Sabrina Mitchell (OWNER) |
| Authorized Official Contact | 7348124577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Psychology, Llc 21740 Meridian Ln Novi MI 48375-4941 Ph: (734) 812-4577 | Full Circle Psychology, Llc 324 E Main St Northville MI 48167-7400 Ph: (734) 812-4577 |
| NPI Number | 1942848254 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Medicare PECOS PAC ID | 6901234228 |
|---|---|
| Medicare Enrollment ID | O20200218000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942848254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sabrina F Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669674388 PECOS PAC ID: 1951464569 Enrollment ID: I20090108000220 |
| Provider Name | Pamela K Manela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750699955 PECOS PAC ID: 2264614254 Enrollment ID: I20110311000788 |
| Provider Name | Catherine Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568136497 PECOS PAC ID: 3476935529 Enrollment ID: I20220805000687 |
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