FULL CIRCLE INTEGRATIVE HEALING NPI 1760264675

NPI Information

  • NPI: 1760264675
  • Provider Name: FULL CIRCLE INTEGRATIVE HEALING
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 231 BRECKENRIDGE LN STE 201
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 200-9836

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NPI Details

FULL CIRCLE INTEGRATIVE HEALING is a professional counselor in Louisville, KY. FULL CIRCLE INTEGRATIVE HEALING NPI is 1760264675. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

231 BRECKENRIDGE LN STE 201
LOUISVILLE, KY
ZIP 40207-871
Phone: (502) 200-9836
Fax: (502) 237-9072

The provider's authorized official is Stephanie J Clemmons .
The authorized official title is Counselor and has the following contact phone number (502) 291-4094.

The enumeration date for this NPI number is 10/16/2023 and was last updated on 7/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes
21041C0700XSocial WorkerClinicalNo
3221700000XArt TherapistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100855840MEDICAIDKENTUCKY
27100323780MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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