MEDICARE: OUR FUTURE FAITH & FAMILY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	235Z00000X	Speech-Language Pathologist
3	251S00000X	Community/Behavioral Health Agency
4	101YM0800X	Mental Health Counselor
5	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1548603202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR FUTURE FAITH & FAMILY

Provider Business Mailing Address
First Line	:	2020 REMOUNT RD STE 100
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-7478
Country	:	US
Telephone Number	:	704-460-1687
Fax Number	:	908-553-2015

Provider Business Practice Location Address
First Line	:	2500 GELSINGER AVE
Second Line	:
City	:	BESSEMER CITY
State	:	NC
Zip	:	28016-6814
Country	:	US
Telephone Number	:	704-460-1687
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. ANGELA KAYE HOUSER
Credential	:	MS,LCAS
Telephone Number	:	704-460-1687

Provider Enumeration Date	:	04/12/2013
Last Update Date	:	03/28/2024

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Directions to “OUR FUTURE FAITH & FAMILY ” Practice Location

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