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Organization
FULL CIRCLE WELLNESS, PLLC
Active
Organization
FULL CIRCLE WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONIA JACOBS DEESE MSW, LCSW (OWNER, DIRECTOR)
(919) 619-7379
Entity
Organization
Contact information
Practice address
6416 CARMEL RD STE 408, CHARLOTTE, NC 28226-8268
(980) 428-9174
Mailing address
3908 ASHTON DR, CHARLOTTE, NC 28210-6844
(919) 619-7379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
05/20/2024
Last updated
02/06/2025
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