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Contact Information

FULL CIRCLE INTEGRATIVE HEALING
231 BRECKENRIDGE LN STE 201
LOUISVILLE, KY40207-3871
 Phone: 502-200-9836
 Fax: 502-237-9072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Art Therapist

221700000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for FULL CIRCLE INTEGRATIVE HEALING · (Female)

NPI # 1760264675
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2023
Last updated 08/14/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100323780
  • KY Medicaid 7100958930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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