| Full Circle Llc | |
|
901 Wethersfield Ave Hartford CT 06114-4700 | |
| (860) 268-6872 | |
| Not Available |
| Full Name | Full Circle Llc |
|---|---|
| Speciality | Counselor |
| Location | 901 Wethersfield Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Devone D Monts (SOCIAL WORKER) |
| Authorized Official Contact | 8602686872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Llc 1589 Main St East Hartford CT 06108-1627 Ph: (860) 268-6872 | Full Circle Llc 901 Wethersfield Ave Hartford CT 06114-4700 Ph: (860) 268-6872 |
| NPI Number | 1578289039 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 3971972399 |
|---|---|
| Medicare Enrollment ID | O20221207001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578289039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Devone Monts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750899043 PECOS PAC ID: 7719355767 Enrollment ID: I20221122001884 |
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