Provider Demographics
NPI:1508464975
Name:FIRST CHOICE COMMUNITY COUNSELING
Entity Type:Organization
Organization Name:FIRST CHOICE COMMUNITY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANIKKA
Authorized Official - Middle Name:LASHELLE
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-721-3306
Mailing Address - Street 1:5801 ALLENTOWN RD
Mailing Address - Street 2:STE 308 AND 309
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4563
Mailing Address - Country:US
Mailing Address - Phone:240-455-7760
Mailing Address - Fax:
Practice Address - Street 1:5801 ALLENTOWN RD STE 308
Practice Address - Street 2:
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4566
Practice Address - Country:US
Practice Address - Phone:240-455-7760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health