Provider Demographics
NPI:1265670467
Name:NEW CHOICES COUNSELING INC
Entity Type:Organization
Organization Name:NEW CHOICES COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRYON
Authorized Official - Last Name:GEHO
Authorized Official - Suffix:
Authorized Official - Credentials:PRACTITIONER
Authorized Official - Phone:540-344-8600
Mailing Address - Street 1:2728 COLONIAL AVE SW STE 11
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-3876
Mailing Address - Country:US
Mailing Address - Phone:540-344-8600
Mailing Address - Fax:540-344-8705
Practice Address - Street 1:2728 COLONIAL AVE SW STE 11
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-3876
Practice Address - Country:US
Practice Address - Phone:540-344-8600
Practice Address - Fax:540-344-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000122101YA0400X
VA0701002543101YP2500X
VA0717000806106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1679745616Medicaid
VA1801083365Medicaid