Future Gems Greenville Entrepreneur Mentorship

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FUTURE GEMS GREENVILLE ENTREPRENEUR MENTORSHIP

Practice address

133 Arnold Mill Rd
Simpsonville, SC 29680-7293

Phone

(267) 671-2311

Fax

(864) 412-7989

NPI assigned

Oct 17, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamika T StevensonNPI 1396344230

Title

President

Phone

(267) 671-2311

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamika T Stevenson

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Simpsonville, SC
  • NPI 1396344230

  Mental Health (Including Community Mental Health Center)

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1962001321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ARNOLD MILL RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807293",
            "telephone_number": "267-671-2311",
            "fax_number": "864-412-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ARNOLD MILL RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807293",
            "telephone_number": "267-671-2311",
            "fax_number": "864-412-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE GEMS GREENVILLE ENTREPRENEUR MENTORSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-671-2311"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Smith Frye, PH.D.
• Ever Jack Fuentes, PHARM.D
• Margo Elyse Fulgham
• Carla M Fulton, D.P.T.
• Krista M Furman, FNP
• Trina Gabbard, SLP
• Gabrielle Lee MSW LLC
• Bernarie Gaddy
• Shavon Gamble
• Jacqueline Gambrell

• Mental Health Clinic/Center (Including Community Mental Health Center) in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.