Provider Demographics
NPI:1033370325
Name:CIRCLES OF CARE
Entity Type:Organization
Organization Name:CIRCLES OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC COUNSELOR
Authorized Official - Phone:361-852-3812
Mailing Address - Street 1:5333 EVERHART RD STE 150B
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4835
Mailing Address - Country:US
Mailing Address - Phone:361-852-3812
Mailing Address - Fax:361-852-6124
Practice Address - Street 1:5333 EVERHART RD STE 150B
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4835
Practice Address - Country:US
Practice Address - Phone:361-852-3812
Practice Address - Fax:361-852-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14626101YM0800X
TX546152253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No253J00000XAgenciesFoster Care AgencyGroup - Multi-Specialty