Provider Demographics
NPI:1982081998
Name:THERAPEUTIC CHOICES
Entity type:Organization
Organization Name:THERAPEUTIC CHOICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHIMMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MAE LMHP
Authorized Official - Phone:308-530-9588
Mailing Address - Street 1:3601 N CATTAIL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-8075
Mailing Address - Country:US
Mailing Address - Phone:308-530-3588
Mailing Address - Fax:
Practice Address - Street 1:218 E B ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5457
Practice Address - Country:US
Practice Address - Phone:308-530-9588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4183251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health