| Full Circle Wellness Pllc | |
|
13300 S West Bay Shore Dr Ste A2 Traverse City MI 49684-5571 | |
| (231) 735-1116 | |
| (231) 642-9190 |
| Full Name | Full Circle Wellness Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 13300 S West Bay Shore Dr Ste A2, Traverse City, Michigan |
| Authorized Official Name and Position | Amanda Stowe (OWNER) |
| Authorized Official Contact | 2317351116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Wellness Pllc Po Box 1767 Grand Rapids MI 49501-1767 Ph: (616) 235-2090 | Full Circle Wellness Pllc 13300 S West Bay Shore Dr Ste A2 Traverse City MI 49684-5571 Ph: (231) 735-1116 |
| NPI Number | 1679183784 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Medicare PECOS PAC ID | 9638589898 |
|---|---|
| Medicare Enrollment ID | O20201029002615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679183784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Stowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396265047 PECOS PAC ID: 0547670705 Enrollment ID: I20201030000793 |
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