Provider Demographics
NPI:1316003007
Name:FOCUS CENTERS,PLLC
Entity Type:Organization
Organization Name:FOCUS CENTERS,PLLC
Other - Org Name:FOCUS CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-281-2299
Mailing Address - Street 1:417 BILTMORE AVE
Mailing Address - Street 2:SUITE 5D
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4501
Mailing Address - Country:US
Mailing Address - Phone:828-281-2299
Mailing Address - Fax:828-281-2299
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:SUITE 5D
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4501
Practice Address - Country:US
Practice Address - Phone:828-281-2299
Practice Address - Fax:828-281-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2276103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000176Medicaid
NC6000176Medicaid