| Choice Counseling, Llc | |
|
1416 S Roan St Johnson City TN 37601-7332 | |
| (423) 502-4158 | |
| Not Available |
| Full Name | Choice Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1416 S Roan St, Johnson City, Tennessee |
| Authorized Official Name and Position | Douglas S. Fox (LPC) |
| Authorized Official Contact | 4235024158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Counseling, Llc 1416 S Roan St Johnson City TN 37601-7332 Ph: (423) 502-4158 | Choice Counseling, Llc 1416 S Roan St Johnson City TN 37601-7332 Ph: (423) 502-4158 |
| NPI Number | 1265730105 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 05/13/2011 |
| Medicare PECOS PAC ID | 6103263538 |
|---|---|
| Medicare Enrollment ID | O20240321001285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265730105 | NPI | - | NPPES |
| 1265730105 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Douglas Stewart Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407096746 PECOS PAC ID: 8820435258 Enrollment ID: I20240404002624 |
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