Provider Demographics
NPI:1104331289
Name:CHOICES COUNSELING, INC.
Entity type:Organization
Organization Name:CHOICES COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC, LSOTP, LSO
Authorized Official - Phone:618-505-0784
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:IL
Mailing Address - Zip Code:62294-0395
Mailing Address - Country:US
Mailing Address - Phone:618-505-0784
Mailing Address - Fax:618-505-0785
Practice Address - Street 1:303 S MAIN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:IL
Practice Address - Zip Code:62294-1808
Practice Address - Country:US
Practice Address - Phone:618-505-0784
Practice Address - Fax:618-505-0785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-11
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009352261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1104331289OtherNPPES