OrganizationActive
Full Focus Training Center LLC
NPI 1013407659 · Adult Mental Health Clinic/Center · Petersburg, VA
Provider details
- NPI number
- 1013407659
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Lesley Tucker, Owner/Program Director
Practice location
1863 Fort Mahone St
Petersburg, VA 23805-2761
Phone: (804) 834-1100
Fax: (804) 834-2200
Mailing address
P.o. Box 213
Waverly, VA 23890-0213
Registry dates
- Enumerated
- 2018-05-17
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.