Healthcare Provider Details

I. General information

NPI: 1366082125
Provider Name (Legal Business Name): FOCUSED PSYCHIATRIC AND MENTAL HEALTH CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S CHURCH ST STE 4
SMITHFIELD VA
23430-1858
US

IV. Provider business mailing address

1801 S CHURCH ST STE 4
SMITHFIELD VA
23430-1858
US

V. Phone/Fax

Practice location:
  • Phone: 757-793-9483
  • Fax:
Mailing address:
  • Phone: 757-793-9483
  • Fax: 757-793-9483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELA MARIE ALLEN
Title or Position: OWNER
Credential: PMHNP-BC, FNP-BC
Phone: 757-793-9483