Healthcare Provider Details

I. General information

NPI: 1790636595
Provider Name (Legal Business Name): FOCUS FORWARD THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 CLEVELAND AVE STE 114
ISHPEMING MI
49849-1842
US

IV. Provider business mailing address

308 CLEVELAND AVE STE 114
ISHPEMING MI
49849-1842
US

V. Phone/Fax

Practice location:
  • Phone: 906-631-7507
  • Fax:
Mailing address:
  • Phone: 906-631-7507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANNA-LIISA KAUTZ
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LLPC
Phone: 906-631-7507