Healthcare Provider Details

I. General information

NPI: 1720951916
Provider Name (Legal Business Name): FOUNDATIONAL FUTURES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 W MAIN ST STE 5
FARMINGTON AR
72730-2914
US

IV. Provider business mailing address

49 OLD DEPOT RD
FARMINGTON AR
72730-2932
US

V. Phone/Fax

Practice location:
  • Phone: 479-206-8206
  • Fax:
Mailing address:
  • Phone: 479-206-8206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TABATHA TAYLOR
Title or Position: OWNER
Credential: MS, CCC-SLP
Phone: 479-200-9332