Healthcare Provider Details

I. General information

NPI: 1891567228
Provider Name (Legal Business Name): FOCUSING ON YOU MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023
Certification Date: 10/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2942 N 24TH ST STE 206
PHOENIX AZ
85016-7850
US

IV. Provider business mailing address

2942 N 24TH ST STE 206
PHOENIX AZ
85016-7850
US

V. Phone/Fax

Practice location:
  • Phone: 602-612-3086
  • Fax: 602-672-1129
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CARMISHA TAYLOR
Title or Position: OWNER
Credential:
Phone: 602-612-3086