Healthcare Provider Details

I. General information

NPI: 1174479190
Provider Name (Legal Business Name): FOCUS ON YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HERITAGE DR STE 3
SOUTHGATE MI
48195-3094
US

IV. Provider business mailing address

41262 SOUTHWIND DR
CANTON MI
48188-3122
US

V. Phone/Fax

Practice location:
  • Phone: 248-832-6700
  • Fax:
Mailing address:
  • Phone: 313-282-8538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CARMEN RASEAN EVANS
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-BC,PMHNP-BC
Phone: 248-832-6700