| Full Circle Therapy, Llc | |
|
190 E Main St Abingdon VA 24210-2854 | |
| (276) 738-4831 | |
| (844) 444-0697 |
| Full Name | Full Circle Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 190 E Main St, Abingdon, Virginia |
| Authorized Official Name and Position | Tracy Lyn Meek (LCSW) |
| Authorized Official Contact | 2767384831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Therapy, Llc 190 E Main St Abingdon VA 24210-2854 Ph: (276) 738-4831 | Full Circle Therapy, Llc 190 E Main St Abingdon VA 24210-2854 Ph: (276) 738-4831 |
| NPI Number | 1003588948 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Medicare PECOS PAC ID | 4082007877 |
|---|---|
| Medicare Enrollment ID | O20220128002056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003588948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracy Lyn Meek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790157790 PECOS PAC ID: 1254765001 Enrollment ID: I20200102001841 |
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