Provider Demographics
NPI:1811238785
Name:CHOICES UNLIMITED, INC
Entity Type:Organization
Organization Name:CHOICES UNLIMITED, INC
Other - Org Name:LYNDA RUF
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:MAJURE
Authorized Official - Last Name:RUF
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, LMFT, LMHC
Authorized Official - Phone:386-738-7787
Mailing Address - Street 1:366 E GRAVES AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-5266
Mailing Address - Country:US
Mailing Address - Phone:386-738-7787
Mailing Address - Fax:386-822-5696
Practice Address - Street 1:366 E GRAVES AVE
Practice Address - Street 2:SUITE D
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-5266
Practice Address - Country:US
Practice Address - Phone:386-738-7787
Practice Address - Fax:386-822-5696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-02
Last Update Date:2013-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 1897261QM0801X
FLMH 6563261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)