Organization
FULL CIRCLE INTEGRATIVE HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE J CLEMMONS M.ED (COUNSELOR)
(502) 291-4094
Entity
Organization
Contact information
Practice address
231 BRECKENRIDGE LN STE 201, LOUISVILLE, KY 40207-3871
(502) 200-9836
(502) 237-9072
Mailing address
341 PIATT PL UNIT 207, LOUISVILLE, KY 40223-6151
(502) 291-4094
(502) 237-9072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100323780
—
KY
05
—
7100958930
—
KY
Enumeration date
10/16/2023
Last updated
08/14/2025
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