Provider Demographics
NPI:1720368202
Name:UNLIMITED CHOICES TO RECOVERY
Entity Type:Organization
Organization Name:UNLIMITED CHOICES TO RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:ALAINA
Authorized Official - Last Name:SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:281-701-8604
Mailing Address - Street 1:301 S 9TH ST
Mailing Address - Street 2:120
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3448
Mailing Address - Country:US
Mailing Address - Phone:281-701-8604
Mailing Address - Fax:281-762-1261
Practice Address - Street 1:301 S 9TH ST
Practice Address - Street 2:SUITE# 120
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3448
Practice Address - Country:US
Practice Address - Phone:281-701-8604
Practice Address - Fax:281-762-1261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-28
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10809251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health