Provider Demographics
NPI:1891308474
Name:PERFECT CIRCLE PSYCHIATRY, LLC
Entity Type:Organization
Organization Name:PERFECT CIRCLE PSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-716-0360
Mailing Address - Street 1:3101 COLTON CT
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8473
Mailing Address - Country:US
Mailing Address - Phone:502-716-0360
Mailing Address - Fax:
Practice Address - Street 1:202 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-2208
Practice Address - Country:US
Practice Address - Phone:502-716-0360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty