Healthcare Provider Details

I. General information

NPI: 1831643964
Provider Name (Legal Business Name): FOCUS C3, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2016
Last Update Date: 03/01/2022
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10748 VIRGINIA PLZ SUITE 107
LA VISTA NE
68128-3204
US

IV. Provider business mailing address

10748 VIRGINIA PLZ SUITE107
LAVISTA NE
68128-3204
US

V. Phone/Fax

Practice location:
  • Phone: 402-933-4411
  • Fax: 888-507-5931
Mailing address:
  • Phone: 402-933-4411
  • Fax: 888-507-5931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMANDA J HEBNER
Title or Position: PRESIDENT
Credential: PLMHP
Phone: 402-933-4411