Provider Demographics
NPI:1366883001
Name:COMPLETE CIRCLE COUNSELING & COACHING
Entity type:Organization
Organization Name:COMPLETE CIRCLE COUNSELING & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEYEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:316-253-4084
Mailing Address - Street 1:127 E AVENUE B
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-7457
Mailing Address - Country:US
Mailing Address - Phone:620-259-7993
Mailing Address - Fax:620-259-7994
Practice Address - Street 1:127 E AVENUE B
Practice Address - Street 2:SUITE B
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-7457
Practice Address - Country:US
Practice Address - Phone:620-259-7993
Practice Address - Fax:620-259-7994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS184106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty