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Organization
LIVING FULL CIRCLE, INC.
Active
Organization
LIVING FULL CIRCLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNA P. GOMEZ LISW, LCSW, LADAC (PRESIDENT & CEO)
(713) 660-0776
Entity
Organization
Contact information
Practice address
6300 W LOOP SOUTH, SUITE 575, HOUSTON, TX 77401-2900
(713) 660-0776
(713) 660-0033
Mailing address
6300 W LOOP SOUTH, SUITE 575, HOUSTON, TX 77401-2900
(713) 660-0776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06332803
—
NM
05
—
182207401
—
TX
Enumeration date
06/10/2006
Last updated
10/02/2008
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