Provider Demographics
NPI:1649482803
Name:ALTERNATIVE CHOICES
Entity type:Organization
Organization Name:ALTERNATIVE CHOICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-496-0248
Mailing Address - Street 1:134 W 1180 N STE 4
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-1483
Mailing Address - Country:US
Mailing Address - Phone:435-496-0248
Mailing Address - Fax:
Practice Address - Street 1:134 W 1180 N STE 4
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-1483
Practice Address - Country:US
Practice Address - Phone:435-496-0248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3619983501251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health