Provider Demographics
NPI:1255882445
Name:FULL CIRCLE COUNSELING AND FAMILY SERVICES, PLLC
Entity type:Organization
Organization Name:FULL CIRCLE COUNSELING AND FAMILY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CLINICAL DIRECTION
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, RPT, CAS
Authorized Official - Phone:469-471-4109
Mailing Address - Street 1:17440 DALLAS PKWY
Mailing Address - Street 2:SUITE 216
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7336
Mailing Address - Country:US
Mailing Address - Phone:469-471-4109
Mailing Address - Fax:
Practice Address - Street 1:17440 DALLAS PKWY
Practice Address - Street 2:SUITE 216
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7336
Practice Address - Country:US
Practice Address - Phone:469-471-4109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-22
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX586831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty