Full Circle Florida Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FULL CIRCLE FLORIDA INC.

Practice address

6396 Royal Tern St
Orlando, FL 32810-6012

Phone

(407) 801-9628

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Lesli Odum, LHMCNPI 1982006268

Title

Clinical Director

Phone

(407) 801-9628

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lesli Odum

  • Developmental Disabilities Clinic/Center
  • Orlando, FL
  • NPI 1982006268

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1386154474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6396 ROYAL TERN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 ROYAL TERN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106012",
            "telephone_number": "407-801-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE FLORIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "ODUM",
        "authorized_official_first_name": "LESLI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-801-9628",
        "authorized_official_credential": "LHMC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15156",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulfilled Wellness & Support Services
• Sheila Fulgenzi, LCSW
• Brenton Glenn Fulks, CRNA
• Full Circle Behavioral Health
• Full Circle Behavioral Health Services LLC
• Full Circle Healthcare Solutions, LLC
• Full of Grace Behavioral Healthcare
• Fuller & Associates, LLC
• Anna Maria Fuller, RN
• Barbara B Fuller, LCSW

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.