1225496045 NPI number — CHOICES THRU COUNSELING SERVICES LCSW PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225496045 NPI number — CHOICES THRU COUNSELING SERVICES LCSW PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHOICES THRU COUNSELING SERVICES LCSW PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225496045
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 287
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAGRANGEVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12540-0287
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
145 ROUTE 22
Provider Second Line Business Practice Location Address:
201
Provider Business Practice Location Address City Name:
PAWLING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12564-3214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-372-2868
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2016

Additional Information

Authorized Official

Authorized Official Last Name:
BACINO
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
845-214-2705

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  075438 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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