Healthcare Provider Details

I. General information

NPI: 1649952565
Provider Name (Legal Business Name): FIRST CHOICE DUI AND COUNSELING SERVICES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 MANCHESTER ROAD BUILDING B, SUITE 1075-A
WHEATON IL
60187
US

IV. Provider business mailing address

45 MUIRFIELD CIR
WHEATON IL
60189-2737
US

V. Phone/Fax

Practice location:
  • Phone: 630-349-6500
  • Fax: 630-349-6538
Mailing address:
  • Phone: 630-234-1576
  • Fax: 630-349-6538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BETTE LYNN HUNT
Title or Position: OWNER, COUNSELOR
Credential: LCPC
Phone: 630-349-6500