Provider Demographics
NPI:1164644811
Name:CIRCLES COUNSELING SERVICES
Entity Type:Organization
Organization Name:CIRCLES COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:KELLY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-490-3120
Mailing Address - Street 1:405 PRIMROSE RD
Mailing Address - Street 2:209
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4064
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1204 BURLINGAME AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4147
Practice Address - Country:US
Practice Address - Phone:650-490-3120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health