Provider Demographics
NPI:1831591254
Name:C.H.O.I.C.E.S., LLC
Entity type:Organization
Organization Name:C.H.O.I.C.E.S., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCPC-S, PSYD
Authorized Official - Phone:334-357-6386
Mailing Address - Street 1:16304 BROOKTRAIL CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3272
Mailing Address - Country:US
Mailing Address - Phone:334-357-6386
Mailing Address - Fax:
Practice Address - Street 1:7100 CHESAPEAKE RD
Practice Address - Street 2:# 201
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-2349
Practice Address - Country:US
Practice Address - Phone:334-357-6386
Practice Address - Fax:301-780-3783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0740101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty