Full Circle Healing

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

07-06-73U3 Issued in OR

Legal business name

FULL CIRCLE HEALING

Practice address

905 Main St
Suite 211
Klamath Falls, OR 97601-5810

Phone

(541) 884-6004

Fax

(541) 884-6004

NPI assigned

Dec 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Fabrice William Dolce, CADC1

Title

Owner

Phone

(541) 884-6004

Specialties & licenses 2

Addresses

Tax ID family

Full Circle Healing2 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 Healing

  • Community/Behavioral Health Agency
  • Klamath Falls, OR
  • NPI 1851616585
  NPD tax ID

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1497083547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "address_2": "SUITE 211",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015810",
            "telephone_number": "541-884-6004",
            "fax_number": "541-884-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "address_2": "SUITE 211",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015810",
            "telephone_number": "541-884-6004",
            "fax_number": "541-884-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "DOLCE",
        "authorized_official_first_name": "FABRICE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-884-6004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC1"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "07-06-73U3",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "OR",
            "license": "07-06-73U3",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Frison Jr.
• Brea Elise Frost, MS, PA-C
• Jared R Frost, PA
• Ronald Jay Fruitt
• Renee Frye, CADC, QMHA, CRM, PSS
• Full Circle Healing
• Elodie Fuller, PT, DPT
• Noah Funk, PA-C
• Future Hope Wellness LLC
• Zenaida Lucas Gabriel

• Community/Behavioral Health Agency in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.