Provider Demographics
NPI:1245558840
Name:CHOICES, INC.
Entity Type:Organization
Organization Name:CHOICES, INC.
Other - Org Name:CHOICES FOR CHANGE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LAC
Authorized Official - Phone:406-822-5422
Mailing Address - Street 1:PO BOX 622
Mailing Address - Street 2:304 4TH AVE. E
Mailing Address - City:SUPERIOR
Mailing Address - State:MT
Mailing Address - Zip Code:59872-0622
Mailing Address - Country:US
Mailing Address - Phone:406-822-5422
Mailing Address - Fax:406-822-0786
Practice Address - Street 1:304 4TH AVE. E
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:MT
Practice Address - Zip Code:59872-0622
Practice Address - Country:US
Practice Address - Phone:406-822-5422
Practice Address - Fax:406-822-0786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT765101YA0400X, 251S00000X
MT6351041C0700X, 251K00000X
MT295-12251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0503183Medicaid
MT000050190Medicare PIN