| Full Circle Therapy Llc | |
|
2645 Executive Park Dr Ste 149 Weston FL 33331-3624 | |
| (964) 701-3854 | |
| Not Available |
| Full Name | Full Circle Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2645 Executive Park Dr Ste 149, Weston, Florida |
| Authorized Official Name and Position | Melissa M Riesgo (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9547013854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Therapy Llc 16446 Nw 14th St Pembroke Pines FL 33028-1314 Ph: (954) 701-3854 | Full Circle Therapy Llc 2645 Executive Park Dr Ste 149 Weston FL 33331-3624 Ph: (964) 701-3854 |
| NPI Number | 1982225454 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 05/06/2020 |
| Certification Date | 05/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982225454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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