Healthcare Provider Details

I. General information

NPI: 1962307157
Provider Name (Legal Business Name): CHOSEN FAMILY SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W MAIN ST # S104
MOORESTOWN NJ
08057-2325
US

IV. Provider business mailing address

230 N MAPLE AVE STE B1
MARLTON NJ
08053-9412
US

V. Phone/Fax

Practice location:
  • Phone: 973-640-3885
  • Fax:
Mailing address:
  • Phone: 856-813-7643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KIMBERLY SMITH
Title or Position: OWNER
Credential:
Phone: 856-813-7643