Provider Demographics
NPI:1073981353
Name:FOCUS COUNSELING CLINIC, LLC.
Entity Type:Organization
Organization Name:FOCUS COUNSELING CLINIC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLAJUMOKE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:OLAWALE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC, LICDC
Authorized Official - Phone:614-312-7917
Mailing Address - Street 1:3417 COURTLAND DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-9185
Mailing Address - Country:US
Mailing Address - Phone:614-312-7917
Mailing Address - Fax:
Practice Address - Street 1:781 NORTHWEST BLVD STE 206
Practice Address - Street 2:
Practice Address - City:GRANDVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:43212-3878
Practice Address - Country:US
Practice Address - Phone:614-312-7917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1100299101Y00000X
OHICDC.121130101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty