# FULL CIRCLE HEALING, LLC

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

## Provider details

- **NPI number:** 1649109612
- **Authorized official:** LISA WALKER LCSW (OWNER)
- **Authorized official phone:** (801) 638-8438

## Contact information

- **Practice address:** 6936 S PROMENADE DR STE 103, COTTONWOOD HEIGHTS, UT 84121-5699
- **Practice address phone:** (801) 638-8438
- **Practice address fax:** (801) 609-1443
- **Mailing address:** 1350 E 8555 S, SANDY, UT 84093-1342
- **Mailing address phone:** (801) 638-8438
- **Mailing address fax:** (801) 609-1443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2026
- **Last updated:** 05/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4232759 | — | UT |
