# FULL CIRCLE WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1558100636
- **Authorized official:** MRS. TONIA JACOBS DEESE MSW, LCSW (OWNER, DIRECTOR)
- **Authorized official phone:** (919) 619-7379

## Contact information

- **Practice address:** 6416 CARMEL RD STE 408, CHARLOTTE, NC 28226-8268
- **Practice address phone:** (980) 428-9174
- **Mailing address:** 3908 ASHTON DR, CHARLOTTE, NC 28210-6844
- **Mailing address phone:** (919) 619-7379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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