Provider Demographics
NPI: | 1194348680 |
---|---|
Name: | MY CHOICE COUNSELING & WELLNESS, PLLC |
Entity type: | Organization |
Organization Name: | MY CHOICE COUNSELING & WELLNESS, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MEMBER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | EDGAR |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NAPOLES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 830-282-7146 |
Mailing Address - Street 1: | 2115 STEPHENS PL STE 400A |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW BRAUNFELS |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78130-2167 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 830-282-7980 |
Mailing Address - Fax: | 830-239-9737 |
Practice Address - Street 1: | 2115 STEPHENS PL STE 410I |
Practice Address - Street 2: | |
Practice Address - City: | NEW BRAUNFELS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78130-2170 |
Practice Address - Country: | US |
Practice Address - Phone: | 830-282-7980 |
Practice Address - Fax: | 830-239-9737 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-05-19 |
Last Update Date: | 2022-11-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |