Provider Demographics
NPI:1801095336
Name:CAROLINA FOCUS, LLC
Entity type:Organization
Organization Name:CAROLINA FOCUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CO-DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LCAS,CRCLPC
Authorized Official - Phone:252-522-0032
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28502-0024
Mailing Address - Country:US
Mailing Address - Phone:252-522-0032
Mailing Address - Fax:252-522-0035
Practice Address - Street 1:110 S QUEEN ST STE 115
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4974
Practice Address - Country:US
Practice Address - Phone:252-522-0032
Practice Address - Fax:252-522-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-14
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management