Provider Demographics
NPI:1902335862
Name:FULL CIRCLE COUNSELING & CONSULTING, PLLC
Entity Type:Organization
Organization Name:FULL CIRCLE COUNSELING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-586-0066
Mailing Address - Street 1:520 CENTRAL PKWY E STE 234
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5527
Mailing Address - Country:US
Mailing Address - Phone:214-586-0066
Mailing Address - Fax:
Practice Address - Street 1:520 CENTRAL PKWY E STE 234
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5527
Practice Address - Country:US
Practice Address - Phone:214-586-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty