FULL CIRCLE WELLNESS PLLC NPI 1558100636

NPI Information

  • NPI: 1558100636
  • Provider Name: FULL CIRCLE WELLNESS, PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6416 CARMEL RD STE 408
    CHARLOTTE, NC
    ZIP 28226
  • Phone: (980) 428-9174

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NPI Details

FULL CIRCLE WELLNESS, PLLC is a mental health counselor in Charlotte, NC. FULL CIRCLE WELLNESS, PLLC NPI is 1558100636. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6416 CARMEL RD STE 408
CHARLOTTE, NC
ZIP 28226-268
Phone: (980) 428-9174

The provider's authorized official is Tonia Jacobs Deese .
The authorized official title is Owner, Director and has the following contact phone number (919) 619-7379.

The enumeration date for this NPI number is 5/20/2024 and was last updated on 2/6/2025.

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 License Number License State Primary
1101YM0800XCounselorMental HealthYes
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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
11053153254OTHERNORTH CAROLINANPI

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: 11/21/2025

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