| Choosing How I Live Life, Inc. | |
|
1700 Montopolis Dr Austin TX 78741-5138 | |
| (512) 385-4799 | |
| (512) 385-4838 |
| Full Name | Choosing How I Live Life, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1700 Montopolis Dr, Austin, Texas |
| Authorized Official Name and Position | Lori D. Wilson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5123854799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choosing How I Live Life, Inc. 1700 Montopolis Dr Austin TX 78741-5138 Ph: (512) 385-4799 | Choosing How I Live Life, Inc. 1700 Montopolis Dr Austin TX 78741-5138 Ph: (512) 385-4799 |
| NPI Number | 1235175704 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235175704 | NPI | - | NPPES |
| 0654832 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1920-A (Texas) | Primary |
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