Provider Demographics
NPI:1942803945
Name:CHOOSE YOUR CHANGE COUNSELING LLC
Entity Type:Organization
Organization Name:CHOOSE YOUR CHANGE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLSOM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:989-545-1358
Mailing Address - Street 1:3333 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-6201
Mailing Address - Country:US
Mailing Address - Phone:989-274-8891
Mailing Address - Fax:989-393-2012
Practice Address - Street 1:110 S AUBURN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MI
Practice Address - Zip Code:48611-9366
Practice Address - Country:US
Practice Address - Phone:989-545-1358
Practice Address - Fax:989-393-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty