Provider Demographics
NPI:1942627815
Name:GOOD CHOICES COUNSELING, LLC
Entity Type:Organization
Organization Name:GOOD CHOICES COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ROSALES
Authorized Official - Last Name:BELLA-NESBITT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-991-0534
Mailing Address - Street 1:1022A N. MAIN ST. EXT.
Mailing Address - Street 2:AVADA BUILDING
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1954
Mailing Address - Country:US
Mailing Address - Phone:724-991-0048
Mailing Address - Fax:
Practice Address - Street 1:1022A NORTH MAIN STREET EXTENSION
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-991-0534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty