Provider Demographics
NPI:1710220066
Name:CHOICES 1ST LLC
Entity Type:Organization
Organization Name:CHOICES 1ST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER; SOLE PROPIETER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MAXWELL
Authorized Official - Last Name:GALE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-233-4178
Mailing Address - Street 1:106 WEMBLEY CT
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-1866
Mailing Address - Country:US
Mailing Address - Phone:302-233-4178
Mailing Address - Fax:
Practice Address - Street 1:1326 S GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4800
Practice Address - Country:US
Practice Address - Phone:302-674-4204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000356101YM0800X
DE0000356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty