FULL FOCUS TRAINING CENTER LLC NPI 1013407659

NPI Information

NPI: 1013407659
Provider Name: FULL FOCUS TRAINING CENTER LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
744 WEST MAIN STREET
WAVERLY, VA
ZIP 23890
Phone: (804) 834-1100
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FULL FOCUS TRAINING CENTER LLC is an adult mental health clinic center in Waverly, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. FULL FOCUS TRAINING CENTER LLC NPI is 1013407659. The provider is registered as an organization entity type.

The provider's business location address is:

744 WEST MAIN STREET
WAVERLY, VA
ZIP 23890-213
Phone: (804) 834-1100
Fax: (804) 834-2200

The provider's authorized official is Lesley Tucker .
The authorized official title is Owner/program Director and has the following contact phone number (804) 895-2106.

The enumeration date for this NPI number is 5/17/2018 and was last updated on 4/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	251S00000X	Community/Behavioral Health		VIRGINIA	No
2	261QR0400X	Clinic/Center	Rehabilitation	VIRGINIA	No
3	261QM0850X	Clinic/Center	Adult Mental Health	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2960-02-011	MEDICAID	VIRGINIA
2	2960	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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