Healthcare Provider Details

I. General information

NPI: 1760124911
Provider Name (Legal Business Name): FOCUS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12222 KINGSWELL ST
BOWIE MD
20721-1952
US

IV. Provider business mailing address

1404 S MAIN CHAPEL WAY STE 104 PMB 705
GAMBRILLS MD
21054-1860
US

V. Phone/Fax

Practice location:
  • Phone: 240-393-6770
  • Fax: 240-393-6770
Mailing address:
  • Phone: 240-393-6770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JOY UMEOBI
Title or Position: PRESIDENT/PROVIDER
Credential: PMHNP-BC
Phone: 240-393-6770