Provider Demographics
NPI:1891055539
Name:CHOICE ONE COUNSELING SERVICES
Entity Type:Organization
Organization Name:CHOICE ONE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISSETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-325-0008
Mailing Address - Street 1:149 MAGNUM LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9421
Mailing Address - Country:US
Mailing Address - Phone:256-325-0008
Mailing Address - Fax:256-270-9626
Practice Address - Street 1:149 MAGNUM LN
Practice Address - Street 2:SUITE A
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9421
Practice Address - Country:US
Practice Address - Phone:256-325-0008
Practice Address - Fax:256-270-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-28
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2964101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty