Provider Demographics
NPI:1730701327
Name:FOCUS BEHAVORIAL HEALTH GROUP, LLC
Entity type:Organization
Organization Name:FOCUS BEHAVORIAL HEALTH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAVERNE
Authorized Official - Middle Name:MERRITT
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:757-574-0900
Mailing Address - Street 1:PO BOX 9503
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-9503
Mailing Address - Country:US
Mailing Address - Phone:757-574-0900
Mailing Address - Fax:757-913-1060
Practice Address - Street 1:4012 RAINTREE RD STE 120A
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-3760
Practice Address - Country:US
Practice Address - Phone:757-574-0900
Practice Address - Fax:757-913-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty