FULL CIRCLE COUNSELING AND WELLNESS, LLC (NPI# 1558976209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558976209 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE COUNSELING AND WELLNESS, LLC |
| Practice Address |
24363 Spring Creek Rd Ste K Washington IL 61571-9654 |
| Practice Telephone | 8152523032 |
| Mailing Telephone | 8152523032 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | KATIE NEIDETCHER (OWNER) |
| Authorized Official Telephone | 8152523032 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
24363 SPRING CREEK RD STE K |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571-9654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| Find all providers in zip 61571 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
| 1093322463 | Brooksi Bottari | Counselor | 1401 New York Ave Ne, Washington, DC 20002-1786 | 2020-09-29 |
| 1164036042 | Autonomy Alliance Counseling LLC | Counselor | 100 Alamo Dr, Washington, IL 61571-2901 | 2020-09-08 |
| 1679187058 | Leila Barzegar | Counselor | 1673 Park Rd Nw Apt 505, Washington, DC 20010-2132 | 2020-09-03 |
| 1750995593 | Almeta Mccannon | Counselor | 3005 25th St Ne, Washington, DC 20018-2511 | 2020-08-31 |
| 1912510835 | Novia Patrice Davis | Counselor | 511 Nicholson St Nw, Washington, DC 20011-2017 | 2020-08-29 |
| 1992322689 | Suzannah Dichter | Counselor | 1240 18th St Ne Apt 4, Washington, DC 20002-2080 | 2020-06-29 |
| 1013531136 | Toni Ranette Bell | Counselor | 1934 Capitol Ave Ne, Washington, DC 20002-1729 | 2020-06-04 |
| 1306467055 | Camille M White | Counselor | 6142 Sligo Mill Rd Ne, Washington, DC 20011-1526 | 2020-05-05 |
| 1790305506 | Healing Roots Counseling, LLC | Counselor | 1555 Connecticut Ave, Nw Suite 401, Washington, DC 20036 | 2020-04-22 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
Please comment or provide details below to improve the information on FULL CIRCLE COUNSELING AND WELLNESS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.