Healthcare Provider Details

I. General information

NPI: 1083992705
Provider Name (Legal Business Name): FOCUS COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2011
Last Update Date: 01/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 MORTHLAND DR SUITE B
VALPARAISO IN
46385-4637
US

IV. Provider business mailing address

660 MORTHLAND DR SUITE B
VALPARAISO IN
46385-4637
US

V. Phone/Fax

Practice location:
  • Phone: 219-464-0106
  • Fax:
Mailing address:
  • Phone: 219-464-0106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number20042525A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MR. JIM BURNS
Title or Position: EXECUTIVE DIRECTOR
Credential: MA
Phone: 219-462-9200