FULL CIRCLE WELLNESS COLLECTIVE INC. NPI 1033822804

NPI Information

NPI: 1033822804
Provider Name: FULL CIRCLE WELLNESS COLLECTIVE, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3151 AIRWAY AVE STE F120
COSTA MESA, CA
ZIP 92626
Phone: (714) 406-0454
Get Directions

FULL CIRCLE WELLNESS COLLECTIVE, INC. is a mental health counselor in Costa Mesa, CA. FULL CIRCLE WELLNESS COLLECTIVE, INC. NPI is 1033822804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3151 AIRWAY AVE STE F120
COSTA MESA, CA
ZIP 92626-623
Phone: (714) 406-0454
Fax: (714) 617-2934

The provider's authorized official is Shahrzad Azarafza .
The authorized official title is President/founder & Psychotherapist and has the following contact phone number (714) 406-0454.

The enumeration date for this NPI number is 12/26/2022 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	Yes
2	1041C0700X	Social Worker	Clinical	No
3	106H00000X	Marriage & Family Therapist		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1215381538	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »