Organization
FULL CIRCLE THERAPY CENTER, PLLC
Active
Other names
Full Circle Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SIEGEL LCSW, LCDC (OWNER, THERAPIST)
(972) 754-6681
Entity
Organization
Contact information
Practice address
2485 E SOUTHLAKE BLVD STE 180, SOUTHLAKE, TX 76092-6687
(682) 593-1272
Mailing address
4142 PETERSBURG DR, FORT WORTH, TX 76244-4373
(972) 754-6681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
57444
TX
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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