National Provider Identifier Database

FULL CIRCLE INTEGRATIVE HEALING
Professional


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
* Professional 101YP2500X
Art Therapist 221700000X
Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for FULL CIRCLE INTEGRATIVE HEALING

NPI Number 1760264675
Legal business name
LBN
FULL CIRCLE INTEGRATIVE HEALING
Authorized official STEPHANIE CLEMMONS - (COUNSELOR)
Entity Organization
Organization subpart No
Enumeration date 10/16/2023
Last updated 08/14/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 7100323780
  • KY Medicaid: 7100958930

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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