Full Circle Wellness Center, Inc.
LBN: Full Circle Wellness Center, Inc.
Full Circle Wellness Center, Inc. is an health care organization with primary practice located at 265 Hammond St , Bangor ME 04401-4610. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Full Circle Wellness Center, Inc. can be contacted via phone (207) 942-5055, or through Gray, Marcia Anne via phone (207) 942-5055.
Contact Information
Primary practice address
265 Hammond St
Bangor ME 04401-4610
Phone: (207) 942-5055
Fax: (207) 942-7013
Website:
Authorized official contact:
Name: Gray, Marcia Anne Licensed Clinical Social Worker (LCSW)
Phone: (207) 942-5055
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1659481786 |
|---|---|
| LBN Legal business name | Full Circle Wellness Center, Inc. |
| DBA Doing business as | |
| Authorized official | Gray, Marcia Anne Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 19th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659481786 | NPPES |
| Maine | MEDICAID | 432502100 | |
| Maine | MEDICAID | 432502101 |
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