FULL FOCUS TRAINING CENTER LLC (NPI# 1013407659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013407659 |
| Entity Type | Organization |
| Organization Name | FULL FOCUS TRAINING CENTER LLC |
| Practice Address |
744 West Main Street Waverly VA 23890-0213 |
| Mailing Address |
P.o. Box 213 Waverly VA 23890-0213 |
| Practice Telephone | 8048341100 |
| Practice Fax Number | 8048342200 |
| Mailing Telephone | 8048341100 |
| Mailing Fax Number | 8048342200 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | LESLEY TUCKER (OWNER/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8048952106 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | VA | Agencies | |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
VA | Ambulatory Health Care Facilities | |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 2960-02-011 | 05 | |
| VA | 2960 | 05 |
| Street Address |
744 WEST MAIN STREET |
| City | WAVERLY |
| State | VA |
| Zip Code | 23890-0213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053538421 | Horizon Health Services Inc | Clinic/Center | 344 West Main Street, Waverly, VA 23890 | 2007-04-19 |
| 1750312591 | Regina Francine Smith | Social Worker | 232 Coppahaunk Ave, Waverly, VA 23890 | 2006-07-06 |
| 1487961447 | Waverly Rescue Squad, Inc | Ambulance | 115 Bank Street, Waverly, VA 23890 | 2010-09-10 |
| 1407089592 | Waverly Volunteer Rescue Squad | Ambulance | 115 Bank St, Waverly, VA 23890 | 2009-08-24 |
| 1174683619 | Jillian Grizzard Fajna | Pharmacist | 328 W Main St, Waverly Drugs, Waverly, VA 23890 | 2006-12-12 |
| 1972607356 | Alvin Bradley | Pharmacist | 328 W Main St, Waverly, VA 23890 | 2006-09-07 |
| 1114096542 | Talmage Thomas Musgrove IIi | Pharmacist | 328 W Main St, Waverly, VA 23890-0596 | 2006-11-07 |
| 1053390906 | George Coleman | Family Medicine | 344 W Main St, Waverly, VA 23890-3235 | 2006-01-10 |
| 1497302350 | Back Home Pharmacy Inc | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2019-08-23 |
| 1801386339 | Spring Branch Rx LLC | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2018-05-10 |
| Find all providers in zip 23890 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1720609837 | Healthy Mind Pllc | Clinic/Center | 6551 Continental St, Williamsburg, VA 23188-7586 | 2020-04-29 |
| 1225661978 | Cavcity Counseling Inc. | Clinic/Center | 1020 Carrington Pl Fl 2, Charlottesville, VA 22901-1891 | 2020-02-20 |
| 1942855622 | Destine for Greatness, LLC | Clinic/Center | 1035 Bryce Ln, Virginia Beach, VA 23464-4500 | 2019-08-08 |
| 1407400203 | 360 Counseling & Services | Clinic/Center | 5509 Townsbury Terrrace, Chesterfield, VA 23832-9256 | 2019-07-30 |
| 1710449327 | Kemet Health One LLC | Clinic/Center | 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 | 2019-04-02 |
| 1134680796 | Your Path Counseling Center LLC | Clinic/Center | 104 N Railroad Ave Ste A, Ashland, VA 23005-1528 | 2019-03-27 |
| 1245797083 | Reboot LLC | Clinic/Center | 7006 Old Reflection Dr, Mechanicsville, VA 23111-4284 | 2019-02-28 |
| 1679040976 | Hidden Roots Mental Health LLC | Clinic/Center | 205 E Broadway Ste 200, Hopewell, VA 23860-2809 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.