Provider Demographics
NPI:1730139205
Name:THERAPEUTIC CHOICE CMHC INC
Entity Type:Organization
Organization Name:THERAPEUTIC CHOICE CMHC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:GRISELLE
Authorized Official - Last Name:SANTI HOCHFELDER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LMHC
Authorized Official - Phone:305-599-0442
Mailing Address - Street 1:3901 NW 79TH AVE
Mailing Address - Street 2:SUITE 119
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6554
Mailing Address - Country:US
Mailing Address - Phone:305-599-0442
Mailing Address - Fax:305-477-3599
Practice Address - Street 1:3901 NW 79TH AVE
Practice Address - Street 2:SUITE 119
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-6554
Practice Address - Country:US
Practice Address - Phone:305-599-0442
Practice Address - Fax:305-477-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001884000Medicaid
AB959Medicare PIN
FL101448Medicare ID - Type UnspecifiedCMHC
FL001884000Medicaid