Provider Demographics
NPI:1659885457
Name:C.H.O.I.C.E.S. INTERNATIONAL
Entity Type:Organization
Organization Name:C.H.O.I.C.E.S. INTERNATIONAL
Other - Org Name:CHOICES INTERNATIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LACONYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LPC, MAC, CAC
Authorized Official - Phone:240-389-4685
Mailing Address - Street 1:PO BOX 402
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20773-0402
Mailing Address - Country:US
Mailing Address - Phone:240-389-4685
Mailing Address - Fax:
Practice Address - Street 1:9701 APOLLO DR STE 304
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-4790
Practice Address - Country:US
Practice Address - Phone:240-389-4685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD868592Medicaid