| Full Circle Counseling Pllc | |
|
4640 S 3500 W Ste 4 West Haven UT 84401-6522 | |
| (801) 603-4792 | |
| Not Available |
| Full Name | Full Circle Counseling Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4640 S 3500 W Ste 4, West Haven, Utah |
| Authorized Official Name and Position | Susan Hodges (OWNER) |
| Authorized Official Contact | 8016034792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Counseling Pllc 4640 S 3500 W Ste 4 West Haven UT 84401-6522 Ph: () - | Full Circle Counseling Pllc 4640 S 3500 W Ste 4 West Haven UT 84401-6522 Ph: (801) 603-4792 |
| NPI Number | 1972192631 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 01/15/2021 |
| Certification Date | 01/15/2021 |
| Medicare PECOS PAC ID | 8628485133 |
|---|---|
| Medicare Enrollment ID | O20210330001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972192631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Susan Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104333673 PECOS PAC ID: 1355758863 Enrollment ID: I20210330001617 |
| Provider Name | Alexandra Louise Seng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912440926 PECOS PAC ID: 1355791393 Enrollment ID: I20240103001184 |
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