Provider Demographics
NPI:1285352187
Name:FOCUSMISSION
Entity type:Organization
Organization Name:FOCUSMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIFE COACH
Authorized Official - Prefix:
Authorized Official - First Name:TAISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMUDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED
Authorized Official - Phone:314-582-1882
Mailing Address - Street 1:9826 VICKIE PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-1913
Mailing Address - Country:US
Mailing Address - Phone:314-582-1882
Mailing Address - Fax:314-710-6235
Practice Address - Street 1:9826 VICKIE PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-1913
Practice Address - Country:US
Practice Address - Phone:314-582-1882
Practice Address - Fax:314-710-6235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health