| Futures Healthcore, Llc | |
|
3101 S Gulley Rd Suite F Dearborn MI 48124-4406 | |
| (734) 407-2500 | |
| Not Available |
| Full Name | Futures Healthcore, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3101 S Gulley Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Susan Gannon (REGIONAL DIRECTOR OF MICHIGAN) |
| Authorized Official Contact | 7344072500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Futures Healthcore, Llc 136 William St Springfield MA 01105-2349 Ph: (800) 218-9280 | Futures Healthcore, Llc 3101 S Gulley Rd Suite F Dearborn MI 48124-4406 Ph: (734) 407-2500 |
| NPI Number | 1164599544 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/06/2015 |
| Medicare PECOS PAC ID | 9830404763 |
|---|---|
| Medicare Enrollment ID | O20150820011480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164599544 | NPI | - | NPPES |
| Provider Name | Wanda Bryk-mchugh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861510299 PECOS PAC ID: 9638276892 Enrollment ID: I20070523000019 |
| Provider Name | Kristin L Penix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124416979 PECOS PAC ID: 1759604283 Enrollment ID: I20150108000610 |
| Provider Name | Daniel M Figueredo Leal |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1396998258 PECOS PAC ID: 3476869017 Enrollment ID: I20150827002584 |
| Provider Name | John C Dubois |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922413194 PECOS PAC ID: 0547576720 Enrollment ID: I20150902002207 |
| Provider Name | Carl Dade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760690739 PECOS PAC ID: 4183981871 Enrollment ID: I20171205003186 |
| Provider Name | Margaret Mary Pfeifer Lincoln |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861523201 PECOS PAC ID: 9638433865 Enrollment ID: I20180515002953 |
| Provider Name | Darlene Marie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649576612 PECOS PAC ID: 4880023944 Enrollment ID: I20200411000772 |
| Provider Name | Alexa K Noyes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407495427 PECOS PAC ID: 5698106847 Enrollment ID: I20200504001611 |
| Provider Name | Angela Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922534692 PECOS PAC ID: 2668887969 Enrollment ID: I20210218002615 |
| Provider Name | Malaika L Worsham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720528581 PECOS PAC ID: 0446669683 Enrollment ID: I20210429001527 |
| Provider Name | Fatima Mallick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699202861 PECOS PAC ID: 2365851466 Enrollment ID: I20210430001309 |
| Provider Name | Natalie P Gannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316517527 PECOS PAC ID: 7315328705 Enrollment ID: I20220716000163 |
| Provider Name | Johannah M Mosley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902538523 PECOS PAC ID: 1456733781 Enrollment ID: I20220803003095 |
| Provider Name | Dylan Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093446031 PECOS PAC ID: 3779965819 Enrollment ID: I20220805000567 |
| Provider Name | Rachel Schofield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205545654 PECOS PAC ID: 7517335854 Enrollment ID: I20221117002951 |
| Provider Name | Abigail Wangler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811609597 PECOS PAC ID: 3678945060 Enrollment ID: I20230213000892 |
| Provider Name | Mishioka L Gates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518511328 PECOS PAC ID: 7113399445 Enrollment ID: I20230214001069 |
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