Provider Demographics
NPI:1114261682
Name:FULL CIRCLE TO COMPLETION LLC
Entity Type:Organization
Organization Name:FULL CIRCLE TO COMPLETION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:TREVLYN
Authorized Official - Last Name:GARMON
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:419-246-9405
Mailing Address - Street 1:4285 KEYGATE DR APT 302
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-4890
Mailing Address - Country:US
Mailing Address - Phone:919-308-3591
Mailing Address - Fax:
Practice Address - Street 1:316 N MICHIGAN STREET
Practice Address - Street 2:SUITE 914
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604
Practice Address - Country:US
Practice Address - Phone:419-246-9405
Practice Address - Fax:419-246-9798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health