MEDICARE: FUTURE SEEKERS, INC.

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	:	1982219523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURE SEEKERS, INC.

Provider Business Mailing Address
First Line	:	3475 N. DESERT DRIVE
Second Line	:	BUILDING 1, SUITE 2100
City	:	EAST POINT
State	:	GA
Zip	:	30344
Country	:	US
Telephone Number	:	404-699-6998
Fax Number	:	404-699-2030

Provider Business Practice Location Address
First Line	:	3475 N. DESERT DRIVE
Second Line	:	BUILDING 1, SUITE 2100
City	:	EAST POINT
State	:	GA
Zip	:	30344-3034
Country	:	US
Telephone Number	:	404-699-6998
Fax Number	:	404-699-2030

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. SANDRA HALL-LAY
Credential	:	PHD, MS, BS
Telephone Number	:	404-699-6998

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	09/10/2020

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