Provider Demographics
NPI:1851855969
Name:FAMILY FOCUS INC.
Entity type:Organization
Organization Name:FAMILY FOCUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:733-960-0366
Mailing Address - Street 1:310 S PEORIA ST STE 301
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3534
Mailing Address - Country:US
Mailing Address - Phone:312-421-5200
Mailing Address - Fax:
Practice Address - Street 1:3517 W ARTHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60624-4165
Practice Address - Country:US
Practice Address - Phone:773-722-5057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY FOCUS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2B17-IPI-003Medicaid