Provider Demographics
NPI:1972864718
Name:CHOICES OF ALABAMA LLC
Entity Type:Organization
Organization Name:CHOICES OF ALABAMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:COVER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:205-639-1334
Mailing Address - Street 1:1900 CRESTWOOD BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2034
Mailing Address - Country:US
Mailing Address - Phone:205-639-1334
Mailing Address - Fax:205-575-1613
Practice Address - Street 1:1900 CRESTWOOD BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-2034
Practice Address - Country:US
Practice Address - Phone:205-639-1334
Practice Address - Fax:205-575-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)