Healthcare Provider Details

I. General information

NPI: 1003247271
Provider Name (Legal Business Name): CHOICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 12/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 WYOMING BLVD NE SUITE L3
ALBUQUERQUE NM
87111-3297
US

IV. Provider business mailing address

3620 WYOMING BLVD NE SUITE L3
ALBUQUERQUE NM
87111-3297
US

V. Phone/Fax

Practice location:
  • Phone: 505-730-6791
  • Fax: 505-814-5740
Mailing address:
  • Phone: 505-730-6791
  • Fax: 505-814-5740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNM

VIII. Authorized Official

Name: MS. THERESIA D PFEIFER
Title or Position: PRESIDENT
Credential:
Phone: 505-730-6791