| Full Circle Wellness, Pllc | |
|
6047 Tyvola Glen Cir Charlotte NC 28217-6431 | |
| (980) 428-9174 | |
| Not Available |
| Full Name | Full Circle Wellness, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6047 Tyvola Glen Cir, Charlotte, North Carolina |
| Authorized Official Name and Position | Tonia Jacobs Deese (OWNER, DIRECTOR) |
| Authorized Official Contact | 9196197379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Wellness, Pllc 3908 Ashton Dr Charlotte NC 28210-6844 Ph: (919) 619-7379 | Full Circle Wellness, Pllc 6047 Tyvola Glen Cir Charlotte NC 28217-6431 Ph: (980) 428-9174 |
| NPI Number | 1558100636 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558100636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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