Provider Demographics
NPI:1740890664
Name:THERAPEUTIC CHOICES COUNSELING SERVICES
Entity type:Organization
Organization Name:THERAPEUTIC CHOICES COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIMMIN
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:308-221-5288
Mailing Address - Street 1:218 E B ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5457
Mailing Address - Country:US
Mailing Address - Phone:308-221-5288
Mailing Address - Fax:308-221-5306
Practice Address - Street 1:218 E B ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5457
Practice Address - Country:US
Practice Address - Phone:308-221-5288
Practice Address - Fax:308-221-5306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty