Provider Demographics
NPI:1396811733
Name:CHANGES AND CHOICES INC
Entity type:Organization
Organization Name:CHANGES AND CHOICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PATTERSON-RHOCER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT LCSW
Authorized Official - Phone:608-787-6645
Mailing Address - Street 1:2350 SOUTH AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LACROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-6272
Mailing Address - Country:US
Mailing Address - Phone:608-787-6645
Mailing Address - Fax:608-787-6658
Practice Address - Street 1:2350 SOUTH AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:LACROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-6272
Practice Address - Country:US
Practice Address - Phone:608-787-6645
Practice Address - Fax:608-787-6658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1161103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42191800Medicaid
WI42191800Medicaid