Healthcare Provider Details

I. General information

NPI: 1396764304
Provider Name (Legal Business Name): FOCUS HEALTHCARE OF TENNESSEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7429 SHALLOWFORD ROAD
CHATTANOOGA TN
37421
US

IV. Provider business mailing address

7429 SHALLOWFORD ROAD
CHATTANOOGA TN
37421
US

V. Phone/Fax

Practice location:
  • Phone: 423-308-2560
  • Fax: 423-308-2561
Mailing address:
  • Phone: 423-308-2560
  • Fax: 423-308-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: LISA A WILHOITE
Title or Position: BUSINESS OFFICE DIRECTOR
Credential:
Phone: 423-308-6560