Healthcare Provider Details

I. General information

NPI: 1992375265
Provider Name (Legal Business Name): CHOOSE COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 STROMAN DR
EAGLE PASS TX
78852-3541
US

IV. Provider business mailing address

1281 STROMAN DR
EAGLE PASS TX
78852-3541
US

V. Phone/Fax

Practice location:
  • Phone: 956-203-0414
  • Fax:
Mailing address:
  • Phone: 956-203-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JACOB PIZANA
Title or Position: CLINICAL THERAPIST
Credential: LPC
Phone: 956-455-7094