| Full Circle Wellness | |
|
5600 W Maple Rd Ste A110 West Bloomfield MI 48322-3705 | |
| (248) 722-2653 | |
| (248) 855-4840 |
| Full Name | Full Circle Wellness |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 5600 W Maple Rd Ste A110, West Bloomfield, Michigan |
| Authorized Official Name and Position | Lori Little (PRESIDENT) |
| Authorized Official Contact | 2487222653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Wellness 5600 W Maple Rd Ste A110 West Bloomfield MI 48322-3705 Ph: (248) 722-2653 | Full Circle Wellness 5600 W Maple Rd Ste A110 West Bloomfield MI 48322-3705 Ph: (248) 722-2653 |
| NPI Number | 1326357476 |
|---|---|
| Provider Enumeration Date | 10/06/2010 |
| Last Update Date | 06/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326357476 | NPI | - | NPPES |
| MI-3622 | Other | MI | MEDICARE PART B NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 6301011714 (Michigan) | Primary |
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