Provider Demographics
NPI:1174415814
Name:ENTITLED FUTURES
Entity type:Organization
Organization Name:ENTITLED FUTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:G.
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-891-1567
Mailing Address - Street 1:195 41ST ST UNIT 11498
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-7019
Mailing Address - Country:US
Mailing Address - Phone:415-891-1567
Mailing Address - Fax:
Practice Address - Street 1:1801 ADELINE ST FL 2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2322
Practice Address - Country:US
Practice Address - Phone:415-891-1567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty