| Full Focus Training Center LLC | |
|
1863 Fort Mahone St Petersburg VA 23805-2761 | |
| (804) 834-1100 | |
| (804) 834-2200 |
| Full Name | Full Focus Training Center LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1863 Fort Mahone St, Petersburg, Virginia |
| Authorized Official Name and Position | Lesley Tucker (OWNER/PROGRAM DIRECTOR) |
| Authorized Official Contact | 8048952106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Focus Training Center LLC P.o. Box 213 Waverly VA 23890-0213 Ph: (804) 834-1100 | Full Focus Training Center LLC 1863 Fort Mahone St Petersburg VA 23805-2761 Ph: (804) 834-1100 |
| NPI Number | 1013407659 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 09/11/2025 |
| Certification Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013407659 | NPI | - | NPPES |
| 2960 | Medicaid | VA | |
| 2960-02-011 | Medicaid | VA |
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