Healthcare Provider Details

I. General information

NPI: 1467594515
Provider Name (Legal Business Name): FUTURE FOCUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S ROWAN AVE
SPENCER NC
28159-2354
US

IV. Provider business mailing address

211 S ROWAN AVE
SPENCER NC
28159-2354
US

V. Phone/Fax

Practice location:
  • Phone: 704-737-0545
  • Fax: 704-934-3491
Mailing address:
  • Phone: 704-737-0545
  • Fax: 704-934-3491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License NumberMHL080142
License Number StateNC

VIII. Authorized Official

Name: MISS LATREIKA GABREILLE RICHARDSON
Title or Position: PRESIDENT
Credential: QHMP
Phone: 704-737-0545