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General NPI Number Information
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NPI Number | 1538407275
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Entity Type | Organization
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Legal Business Name | INDIVIDUAL CHOICES, INC.
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 02/22/2026
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Provider Practice Location Address
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Address Line | 1010 ARMORY DR STE A
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City | FRANKLIN
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State | VA
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Zip | 23851-1877
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Country | US
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Telephone | 757-569-7990
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Fax | 866-654-3738
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Provider Business Mailing Address
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Address Line | PO BOX 556
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City | FRANKLIN
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State | VA
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Zip | 23851-0556
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Country | US
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Telephone | 757-620-9208
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Fax | 866-654-3738
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TOMEKA GRANGER-WIGGINS
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Credential | RN, QDDP, QMHP
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Telephone | 757-569-7990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 1990
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License Number State | VA
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