Full Cirlce Wellness

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301011714 Issued in MI

Legal business name

FULL CIRLCE WELLNESS

Practice address

5600 W Maple Rd Ste A110
West Bloomfield, MI 48322-3705

Phone

(248) 722-2653

Fax

(248) 855-4840

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Lori Little, MA, LLP

Title

President

Phone

(248) 722-2653

Specialties & licenses 1

Addresses

Tax ID family

Full Circle Psychological Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Full Circle Behavioral Health, PC

  • Counselor
  • Keego Harbor, MI
  • NPI 1043731573
  NPD tax ID

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1265741961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE A110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223705",
            "telephone_number": "248-722-2653",
            "fax_number": "248-855-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE A110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223705",
            "telephone_number": "248-722-2653",
            "fax_number": "248-855-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRLCE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-722-2653",
        "authorized_official_credential": "MA, LLP"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301011714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda S Froling, MPT
• Rebecca Nicole Fry, LLPC, CRC
• Yevgeniya Fudym, PTA
• Fulfilling Life'S Yearnings Mental Health Center, PLLC
• Full Circle Behavioral Services, PC
• Full Range Wellness
• Carly Furze
• Ga Visiting Providers, PLLC
• Brandon Gadberry
• Lynne Camille Gafford, CNP

• Cognitive & Behavioral Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.