Basic Information
| Provider Information | |||||||||
| NPI: | 1518302025 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FOCUS BEHAVIORAL HEALTH SERVICES, LLC | ||||||||
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| OtherOrganizationName: | HAND IN HAND MITCHELL CO. DTX | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2206 CARTERS RIDGE RD | ||||||||
| Address2: | GREENLEE ELEMENTARY | ||||||||
| City: | SPRUCE PINE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287778529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284398191 | ||||||||
| FaxNumber: | 8284392588 | ||||||||
| Practice Location | |||||||||
| Address1: | 165 MORRIS ST RM 217 | ||||||||
| Address2: | |||||||||
| City: | BLOWING ROCK | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286059026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284398191 | ||||||||
| FaxNumber: | 8284392588 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2013 | ||||||||
| LastUpdateDate: | 08/11/2020 | ||||||||
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| AuthorizedOfficialLastName: | DOUGLAS | ||||||||
| AuthorizedOfficialFirstName: | PAMELA | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8284398191 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
| NPICertificationDate: | 08/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.