| Full Circle Therapy & Wellness Llc | |
|
4400 N Federal Hwy Ste 210 Boca Raton FL 33431-5195 | |
| (561) 212-3418 | |
| Not Available |
| Full Name | Full Circle Therapy & Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4400 N Federal Hwy Ste 210, Boca Raton, Florida |
| Authorized Official Name and Position | Marissa N Jaacobi (FOUNDER & PSYCHOTHERAPIST) |
| Authorized Official Contact | 5612123418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Therapy & Wellness Llc 3319 S Federal Hwy Apt E Boynton Beach FL 33435-8811 Ph: (561) 212-3418 | Full Circle Therapy & Wellness Llc 4400 N Federal Hwy Ste 210 Boca Raton FL 33431-5195 Ph: (561) 212-3418 |
| NPI Number | 1265257810 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 03/07/2025 |
| Certification Date | 02/27/2025 |
| Medicare PECOS PAC ID | 1355870874 |
|---|---|
| Medicare Enrollment ID | O20250129002024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265257810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marissa Nicole Jaacobi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174114664 PECOS PAC ID: 5890230353 Enrollment ID: I20240715004054 |
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