Provider Demographics
NPI:1487016556
Name:CONROYS CHOICES, INC.
Entity Type:Organization
Organization Name:CONROYS CHOICES, INC.
Other - Org Name:CHOICES, CHANCES, CHANGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONROY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC, CAP
Authorized Official - Phone:352-622-0062
Mailing Address - Street 1:850 NE 36TH TER
Mailing Address - Street 2:UNIT G
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-2050
Mailing Address - Country:US
Mailing Address - Phone:352-622-0062
Mailing Address - Fax:352-402-0062
Practice Address - Street 1:850 NE 36TH TER
Practice Address - Street 2:UNIT G
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-2050
Practice Address - Country:US
Practice Address - Phone:352-622-0062
Practice Address - Fax:352-402-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13023251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health