Healthcare Provider Details

I. General information

NPI: 1265764682
Provider Name (Legal Business Name): REASONABLE CHOICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2010
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4867 URBANA RD
SPRINGFIELD OH
45502
US

IV. Provider business mailing address

4867 URBANA RD
SPRINGFIELD OH
45502
US

V. Phone/Fax

Practice location:
  • Phone: 937-717-5843
  • Fax: 937-717-5995
Mailing address:
  • Phone: 937-717-5843
  • Fax: 937-717-5995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12401
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number12401
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number12401
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number12401
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARMEN P GRIFFITH
Title or Position: PROGRAM ADMINISTRATOR
Credential:
Phone: 937-717-5843