Provider Demographics
NPI:1245897503
Name:HEALTHY CHOICE COMMUNITY CENTERED COUNSELING
Entity type:Organization
Organization Name:HEALTHY CHOICE COMMUNITY CENTERED COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-468-2842
Mailing Address - Street 1:19300 GREENFIELD RD STE B
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-2003
Mailing Address - Country:US
Mailing Address - Phone:313-468-2842
Mailing Address - Fax:
Practice Address - Street 1:19300 GREENFIELD RD STE B
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2003
Practice Address - Country:US
Practice Address - Phone:313-468-2842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center