Full Circle Counseling and Family Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58683 Issued in TX

Legal business name

FULL CIRCLE COUNSELING AND FAMILY SERVICES, PLLC

Practice address

17440 Dallas Pkwy
Suite 216
Dallas, TX 75287-7336

Phone

(469) 471-4109

NPI assigned

Oct 22, 2016

Last updated

Oct 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Sewell, LCSW, RPT, CASNPI 1508212226

Title

Founder/Clinical Direction

Phone

(469) 471-4109

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Sewell

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1508212226
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477094400000",
    "number": "1255882445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17440 DALLAS PKWY",
            "address_2": "SUITE 216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877336",
            "telephone_number": "469-471-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17440 DALLAS PKWY",
            "address_2": "SUITE 216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877336",
            "telephone_number": "469-471-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE COUNSELING AND FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-22",
        "last_updated": "2016-10-22",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTION",
        "authorized_official_telephone_number": "469-471-4109",
        "authorized_official_credential": "LCSW, RPT, CAS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeana Elizabeth Fulenwider, PT, DPT
• Stephanie Fulgencio, LMFT
• Angela K Fulgham-Gardner, MD
• Pat Fox Fulgham, M.D.
• Dawn Maria Fulghum, LPTA
• Full Life Outreach Medical Center LLC (Full Life Outreach Center)
• Aileen Fullchange, LP
• Andrea Nicole Fuller, PA-C
• Dale Eugene Fuller, MD
• Dana A Fuller, MD

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.