Healthcare Provider Details

I. General information

NPI: 1457933954
Provider Name (Legal Business Name): FOCUSED FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E MCDOWELL RD STE 204
PHOENIX AZ
85006-2665
US

IV. Provider business mailing address

1301 E MCDOWELL RD STE 204
PHOENIX AZ
85006-2665
US

V. Phone/Fax

Practice location:
  • Phone: 602-253-6259
  • Fax: 602-254-1153
Mailing address:
  • Phone: 602-253-6259
  • Fax: 602-254-1153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KULINDA DANNIELLE ROLLINS
Title or Position: OWNER
Credential:
Phone: 702-636-9357