Healthcare Provider Details

I. General information

NPI: 1538407275
Provider Name (Legal Business Name): INDIVIDUAL CHOICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2013
Last Update Date: 02/22/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 ARMORY DR STE A
FRANKLIN VA
23851-1877
US

IV. Provider business mailing address

PO BOX 556
FRANKLIN VA
23851-0556
US

V. Phone/Fax

Practice location:
  • Phone: 757-569-7990
  • Fax: 866-654-3738
Mailing address:
  • Phone: 757-620-9208
  • Fax: 866-654-3738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number1990
License Number StateVA

VIII. Authorized Official

Name: TOMEKA GRANGER-WIGGINS
Title or Position: EXECUTIVE DIRECTOR
Credential: RN, QDDP, QMHP
Phone: 757-569-7990