Full Circle Wellness Collective, Inc.
LBN: Full Circle Wellness Collective, Inc.
Full Circle Wellness Collective, Inc. is an health care organization with primary practice located at 3151 Airway Ave Ste F120 , Costa Mesa CA 92626-4623. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Full Circle Wellness Collective, Inc. can be contacted via phone (714) 406-0454, or through Azarafza, Shahrzad via phone (714) 406-0454.
Contact Information
Primary practice address
3151 Airway Ave Ste F120
Costa Mesa CA 92626-4623
Phone: (714) 406-0454
Fax: (714) 617-2934
Website:
Authorized official contact:
Name: Azarafza, Shahrzad Licensed Clinical Social Worker (LCSW)
Phone: (714) 406-0454
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1033822804 |
|---|---|
| LBN Legal business name | Full Circle Wellness Collective, Inc. |
| DBA Doing business as | |
| Authorized official | Azarafza, Shahrzad Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 26th, 2022 |
| Last updated | Apr 17th, 2024 - about 8 months 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 | 1033822804 | NPPES |
| California | MEDICAID | 1215381538 |
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