Organization
FULLCIRCLE NEVADA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROSS, ADM, MBR (ADMINISTRATOR, MEMBER)
(702) 303-2503
Entity
Organization
Contact information
Practice address
6170 W LAKE MEAD BLVD, STE. 294, LAS VEGAS, NV 89108-2661
(702) 303-2503
Mailing address
6170 W LAKE MEAD BLVD, STE. 294, LAS VEGAS, NV 89108-2661
(702) 303-2503
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NV
Other
Enumeration date
05/24/2006
Last updated
08/22/2020
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