Provider Demographics
NPI:1982361762
Name:FOCUS BEACH COUNSELING, PLLC
Entity Type:Organization
Organization Name:FOCUS BEACH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GOVERNING PERSON
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-646-5778
Mailing Address - Street 1:6610 HILLTOP TRL
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2846
Mailing Address - Country:US
Mailing Address - Phone:214-646-5778
Mailing Address - Fax:
Practice Address - Street 1:8105 RASOR BLVD STE 238
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0154
Practice Address - Country:US
Practice Address - Phone:214-646-5778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty