Healthcare Provider Details

I. General information

NPI: 1528315330
Provider Name (Legal Business Name): FOCUS BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 VANDERPOOL RD
VILAS NC
28692-8923
US

IV. Provider business mailing address

PO BOX 3624
MORGANTON NC
28680-3624
US

V. Phone/Fax

Practice location:
  • Phone: 828-439-8191
  • Fax:
Mailing address:
  • Phone: 828-439-8191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELA J DOUGLAS
Title or Position: DIRECTOR
Credential: RN
Phone: 828-439-8191