Provider Demographics
NPI:1831643964
Name:FOCUS C3, PC
Entity Type:Organization
Organization Name:FOCUS C3, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEBNER
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP
Authorized Official - Phone:402-933-4411
Mailing Address - Street 1:10748 VIRGINIA PLZ
Mailing Address - Street 2:SUITE107
Mailing Address - City:LAVISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-3204
Mailing Address - Country:US
Mailing Address - Phone:402-933-4411
Mailing Address - Fax:888-507-5931
Practice Address - Street 1:10748 VIRGINIA PLZ
Practice Address - Street 2:SUITE 107
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-3204
Practice Address - Country:US
Practice Address - Phone:402-933-4411
Practice Address - Fax:888-507-5931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-05
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty