# FUTURES HEALTHCORE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164599544
- **Authorized official:** MS. SUSAN GANNON M.A., CCC-SLP (REGIONAL DIRECTOR OF MICHIGAN)
- **Authorized official phone:** (734) 407-2500

## Contact information

- **Practice address:** 3101 S GULLEY RD, SUITE F, DEARBORN, MI 48124-4406
- **Practice address phone:** (734) 407-2500
- **Mailing address:** 136 WILLIAM ST, SPRINGFIELD, MA 01105-2349
- **Mailing address phone:** (800) 218-9280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/06/2015