Healthcare Provider Details

I. General information

NPI: 1699026096
Provider Name (Legal Business Name): CHOICES MENTAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2012
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2239 S WOODLAND BLVD
DELAND FL
32720-8633
US

IV. Provider business mailing address

510 MANATEE SPRINGS CT
ORANGE CITY FL
32763-6442
US

V. Phone/Fax

Practice location:
  • Phone: 386-279-0151
  • Fax: 386-279-0148
Mailing address:
  • Phone: 386-774-1380
  • Fax: 386-774-1380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN COBB STEWART
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: ARNP, BC
Phone: 386-279-0151