Provider Demographics
NPI:1316748379
Name:CHOSEN SERVICES LLC
Entity type:Organization
Organization Name:CHOSEN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TYRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-776-1476
Mailing Address - Street 1:2427 FABYAN LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-3524
Mailing Address - Country:US
Mailing Address - Phone:704-776-1476
Mailing Address - Fax:
Practice Address - Street 1:2427 FABYAN LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3524
Practice Address - Country:US
Practice Address - Phone:704-776-1476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty