| Full Circle Therapy Llc | |
|
2645 Executive Park Dr Ste 149 Weston FL 33331-3624 | |
| (964) 701-3854 | |
| Not Available |
| Full Name | Full Circle Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 2645 Executive Park Dr Ste 149, Weston, Florida |
| Authorized Official Name and Position | Melissa M Riesgo (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9547013854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Therapy Llc 16446 Nw 14th St Pembroke Pines FL 33028-1314 Ph: (954) 701-3854 | Full Circle Therapy Llc 2645 Executive Park Dr Ste 149 Weston FL 33331-3624 Ph: (964) 701-3854 |
| NPI Number | 1982225454 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 05/06/2020 |
| Certification Date | 05/06/2020 |
| Medicare PECOS PAC ID | 2365968765 |
|---|---|
| Medicare Enrollment ID | O20250429001937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982225454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melissa M Riesgo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487275954 PECOS PAC ID: 8628467743 Enrollment ID: I20250429002040 |
| Provider Name | Juliana Duran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629564562 PECOS PAC ID: 8921517244 Enrollment ID: I20250529003381 |
| Provider Name | Elizabeth A Steuerwald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912713025 PECOS PAC ID: 2466961479 Enrollment ID: I20250602001906 |
| Provider Name | Hannah Marissa Damaso |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306667910 PECOS PAC ID: 3678082369 Enrollment ID: I20250604000357 |
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