Full Circle Support LLC
Community/Behavioral Health in Emporia, VA. Organization (NPI-2).
NPI number1265221360
StatusActive
Last updated in NPPESAug 26, 2025
Details
- NPI
- 1265221360
- Entity type
- Organization (NPI-2)
- Legal business name
- Full Circle Support LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2025
- Certification date
- Aug 26, 2025
- Last updated
- Aug 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
412 Ingleside AveEmporia, VA 23847-2320
Phone 804-386-2659
Mailing address
412 Ingleside AveEmporia, VA 23847-2320
Authorized official
Natacha Williams
Biller/Credentialer
7576089255
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