MEDICARE: FUTURE PSYCH SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1134595200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURE PSYCH SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1911 GADSDEN ST STE 101
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-6400
Country	:	US
Telephone Number	:	803-851-0642
Fax Number	:	844-617-1550

Provider Business Practice Location Address
First Line	:	1911 GADSDEN ST STE 101
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-6400
Country	:	US
Telephone Number	:	803-851-0642
Fax Number	:	844-617-1550

Authorized Official
Title or Position	:	CEO, MEDICAL DIRECTOR
Name	:	MR. DON A DUBOSE
Credential	:	M.D.
Telephone Number	:	803-851-0642

Provider Enumeration Date	:	08/12/2015
Last Update Date	:	06/05/2026

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