Full Circle Youth and Family Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4938 Issued in OK

Legal business name

FULL CIRCLE YOUTH AND FAMILY SERVICES, PLLC

Practice address

1212 S Air Depot Blvd
19 B
Midwest City, OK 73110-4870

Phone

(405) 455-7244

Fax

(405) 455-7292

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Luquetta Donyelle McClarty, LPC

Title

Licensed Professional Counselor

Phone

(405) 455-7244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1962741207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96963",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731436963",
            "telephone_number": "405-455-7244",
            "fax_number": "405-455-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S AIR DEPOT BLVD",
            "address_2": "19 B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104870",
            "telephone_number": "405-455-7244",
            "fax_number": "405-455-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE YOUTH AND FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "MCCLARTY",
        "authorized_official_first_name": "LUQUETTA",
        "authorized_official_middle_name": "DONYELLE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-455-7244",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.