FOKUS FAMILY SERVICES LLC NPI 1164673133

NPI Information

NPI: 1164673133
Provider Name: FOKUS FAMILY SERVICES LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 52D2043076

Address:
2821 N VEL R PHILLIPS AVE STE 123
MILWAUKEE, WI
ZIP 53212
Phone: (414) 264-4217
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FOKUS FAMILY SERVICES LLC is a mental health (including community mental health center) clinic center in Milwaukee, WI. FOKUS FAMILY SERVICES LLC NPI is 1164673133. The provider is registered as an organization entity type.

The provider's business location address is:

2821 N VEL R PHILLIPS AVE STE 123
MILWAUKEE, WI
ZIP 53212-370
Phone: (414) 264-4217
Fax: (414) 264-4218

The provider's authorized official is Elzora Darlene Collins .
The authorized official title is Executive Director and has the following contact phone number (414) 264-4217.

The CLIA number assigned to this NPI record is 52D2043076 - comp. outpatient rehab facility with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/8/2008 and was last updated on 6/21/2023.

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 Number	License State	Primary
1	251S00000X	Community/Behavioral Health		2473	WISCONSIN	No
2	291U00000X	Clinical Medical Laboratory		52D2043078	WISCONSIN	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	WI2479	OTHER		MEDICARE PTAN
2	42247800	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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