NPI 1710270087 · live from the CMS NPI Registry
Full Circle Therapy Center, LLC
Counselor, Mental Health in Council Bluffs, IA. National Provider Identifier 1710270087, active.
NPI record
| NPI | 1710270087 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 803 3rd Ave, Council Bluffs, IA 51501 |
| Practice phone | 402-210-6507 |
| Enumerated | May 19, 2011 |
| Last updated | August 7, 2019 |
| Authorized official | Kami Guzman, Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Counselor, Mental Health primary | 101YM0800X | 001148 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.