Healthcare Provider Details

I. General information

NPI: 1508352683
Provider Name (Legal Business Name): FOCUSLINK HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 07/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E CALVADA BLVD STE C
PAHRUMP NV
89048-5833
US

IV. Provider business mailing address

3889 S EASTERN AVE
LAS VEGAS NV
89169-3322
US

V. Phone/Fax

Practice location:
  • Phone: 702-202-0745
  • Fax:
Mailing address:
  • Phone: 702-202-0745
  • Fax: 702-202-0791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARLTON EDWARDS SR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 214-417-0681