Healthcare Provider Details

I. General information

NPI: 1679600688
Provider Name (Legal Business Name): CENTER FOR CHOICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 S SAGE AVE SUITE #100
MOBILE AL
36606
US

IV. Provider business mailing address

328 S SAGE AVE SUITE #100
MOBILE AL
36606
US

V. Phone/Fax

Practice location:
  • Phone: 251-476-2404
  • Fax: 251-476-2458
Mailing address:
  • Phone: 251-476-2404
  • Fax: 251-476-2458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberC4910
License Number StateAL

VIII. Authorized Official

Name: MS. PATRICIA S MITCHELL
Title or Position: OWNER ADMINISTRATOR
Credential:
Phone: 251-476-2404