Basic Information
| Provider Information | |||||||||
| NPI: | 1558770867 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FIRST CHOICE COUNSELING, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 626 E JEFFERSON AVE | ||||||||
| Address2: | |||||||||
| City: | BASTROP | ||||||||
| State: | LA | ||||||||
| PostalCode: | 712204619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3182392325 | ||||||||
| FaxNumber: | 3182392327 | ||||||||
| Practice Location | |||||||||
| Address1: | 626 E JEFFERSON AVE | ||||||||
| Address2: | |||||||||
| City: | BASTROP | ||||||||
| State: | LA | ||||||||
| PostalCode: | 712204619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3182392325 | ||||||||
| FaxNumber: | 3182392327 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2014 | ||||||||
| LastUpdateDate: | 03/16/2022 | ||||||||
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| AuthorizedOfficialLastName: | FREEMAN | ||||||||
| AuthorizedOfficialFirstName: | TONIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 3182392325 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | LA | Y | Agencies | Community/Behavioral Health |
No ID Information.