# FULL CIRCLE GRIEF CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154809713
- **Authorized official:** ALLYSON DRAKE M. ED., CT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (804) 912-2947

## Contact information

- **Practice address:** 10611 PATTERSON AVE STE 201, RICHMOND, VA 23238-4733
- **Practice address phone:** (804) 912-2947
- **Mailing address:** 10611 PATTERSON AVE STE 201, RICHMOND, VA 23238-4733
- **Mailing address phone:** (804) 912-2947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2018
- **Last updated:** 08/04/2018