Provider Demographics
NPI:1659899912
Name:FOCUSED FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:FOCUSED FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KULINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-253-6259
Mailing Address - Street 1:1634 N 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85009-2885
Mailing Address - Country:US
Mailing Address - Phone:602-253-6259
Mailing Address - Fax:
Practice Address - Street 1:1742 W BETHANY HOME RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2509
Practice Address - Country:US
Practice Address - Phone:602-253-6259
Practice Address - Fax:602-254-1153
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOCUSED FAMILY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ900589Medicaid