Healthcare Provider Details

I. General information

NPI: 1245558840
Provider Name (Legal Business Name): CHOICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 4TH AVE. E
SUPERIOR MT
59872-0622
US

IV. Provider business mailing address

PO BOX 622 304 4TH AVE. E
SUPERIOR MT
59872-0622
US

V. Phone/Fax

Practice location:
  • Phone: 406-822-5422
  • Fax: 406-822-0786
Mailing address:
  • Phone: 406-822-5422
  • Fax: 406-822-0786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number765
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number295-12
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number635
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number765
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number635
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0503183
Identifier TypeMEDICAID
Identifier StateMT
Identifier Issuer

VIII. Authorized Official

Name: NANCY MARIE SMITH
Title or Position: OWNER
Credential: MSW, LCSW, LAC
Phone: 406-822-5422