Provider Demographics
NPI:1578696001
Name:CHOICES AND CHANGES
Entity Type:Organization
Organization Name:CHOICES AND CHANGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GERLACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-735-7899
Mailing Address - Street 1:1236 COLUMBIA PARK TRL
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4760
Mailing Address - Country:US
Mailing Address - Phone:509-735-7899
Mailing Address - Fax:509-375-7698
Practice Address - Street 1:1236 COLUMBIA PARK TRL
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4760
Practice Address - Country:US
Practice Address - Phone:509-735-7899
Practice Address - Fax:509-375-7698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA03 0428 00251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health