Provider Demographics
NPI:1629349675
Name:POSITIVE FOCUS MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:POSITIVE FOCUS MENTAL HEALTH SERVICES
Other - Org Name:PFMHS, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, PSYD, HSPP
Authorized Official - Phone:317-371-1681
Mailing Address - Street 1:3170 AUTUMN RUN
Mailing Address - Street 2:
Mailing Address - City:BARGERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46106-8369
Mailing Address - Country:US
Mailing Address - Phone:317-371-1681
Mailing Address - Fax:866-274-3065
Practice Address - Street 1:3170 AUTUMN RUN
Practice Address - Street 2:
Practice Address - City:BARGERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46106-8369
Practice Address - Country:US
Practice Address - Phone:317-371-1681
Practice Address - Fax:866-274-3065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042164A103TC0700X
IN35001531A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty