| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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