Healthcare Provider Details

I. General information

NPI: 1811511124
Provider Name (Legal Business Name): CHOICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 ARCTIC BLVD STE 206
ANCHORAGE AK
99503-4580
US

IV. Provider business mailing address

3330 ARCTIC BLVD STE 206
ANCHORAGE AK
99503-4580
US

V. Phone/Fax

Practice location:
  • Phone: 907-333-4343
  • Fax: 907-333-4383
Mailing address:
  • Phone: 907-333-4343
  • Fax: 907-333-4383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIM MARTINEZ
Title or Position: CEO
Credential:
Phone: 907-333-4343