Provider Demographics
NPI:1528574282
Name:FUTURE FOCUSED COUNSELING SERVICES
Entity Type:Organization
Organization Name:FUTURE FOCUSED COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO , PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHONETTE
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:JACKSON-UMEH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO, MA, LPC, LCDC
Authorized Official - Phone:832-258-2808
Mailing Address - Street 1:7306 EDEN CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1574
Mailing Address - Country:US
Mailing Address - Phone:832-258-2808
Mailing Address - Fax:
Practice Address - Street 1:7120 FM 1464 RD STE D2
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-6400
Practice Address - Country:US
Practice Address - Phone:832-258-2808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X, 251B00000X
TX74628251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1528574282Medicaid
TX1598289779Medicaid
TX1881231348Medicaid