Organization
FULL CIRCLE BEHAVIORAL SERVICES, PC
Active
Organization
FULL CIRCLE BEHAVIORAL SERVICES, PC
Active
Parent organization
FULL CIRCLE BEHAVIORAL HEALTH, PC
Other names
Full Circle Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULL CIRCLE BEHAVIORAL HEALTH, PC
Authorized official
LORI LITTLE MA, LLP (PRESIDENT)
(248) 722-2653
Entity
Organization
Contact information
Practice address
5600 W MAPLE RD STE A110, WEST BLOOMFIELD, MI 48322-3705
(248) 722-2653
(248) 855-4840
Mailing address
5600 W MAPLE RD STE A110, WEST BLOOMFIELD, MI 48322-3705
(248) 722-2653
(248) 855-4840
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301011714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI-3622
MEDICARE PART B NUMBER
MI
Enumeration date
10/06/2010
Last updated
06/02/2011
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