MEDICARE: CHOICES COUNSELING GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1609501378	OTHER	TX	NPI
2	1679772271	OTHER	TX	NPI

General Provider Information

NPI Number	:	1013700095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICES COUNSELING GROUP PLLC

Provider Business Mailing Address
First Line	:	314 HENRIETTA ST
Second Line	:
City	:	WEST ORANGE
State	:	TX
Zip	:	77630-5309
Country	:	US
Telephone Number	:	409-223-3683
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 HENRIETTA ST
Second Line	:
City	:	WEST ORANGE
State	:	TX
Zip	:	77630-5309
Country	:	US
Telephone Number	:	409-223-3683
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAUREN FREDERICK
Credential	:	LPC
Telephone Number	:	409-781-2617

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	06/10/2025

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