Full Circle Wellness Collective, Inc. | |
3151 Airway Ave Ste F120 Costa Mesa CA 92626-4623 | |
(714) 406-0454 | |
(714) 617-2934 |
Full Name | Full Circle Wellness Collective, Inc. |
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Speciality | Counselor - Mental Health |
Location | 3151 Airway Ave Ste F120, Costa Mesa, California |
Authorized Official Name and Position | Shahrzad Azarafza (PRESIDENT/FOUNDER & PSYCHOTHERAPIST) |
Authorized Official Contact | 7144060454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Full Circle Wellness Collective, Inc. 3151 Airway Ave Ste F120 Costa Mesa CA 92626-4623 Ph: (714) 406-0454 | Full Circle Wellness Collective, Inc. 3151 Airway Ave Ste F120 Costa Mesa CA 92626-4623 Ph: (714) 406-0454 |
NPI Number | 1033822804 |
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Provider Enumeration Date | 12/26/2022 |
Last Update Date | 04/17/2024 |
Certification Date | 04/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033822804 | NPI | - | NPPES |
1215381538 | Medicaid | CA |
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