Organization
CHOOSING HOW I LIVE LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI D. WILSON LCDC (PROGRAM DIRECTOR)
(512) 385-4799
Entity
Organization
Contact information
Practice address
1700 MONTOPOLIS DR, AUSTIN, TX 78741-5138
(512) 385-4799
(512) 385-4838
Mailing address
1700 MONTOPOLIS DR, AUSTIN, TX 78741-5138
(512) 385-4799
(512) 385-4838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1920-A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0654832
—
TX
Enumeration date
06/21/2006
Last updated
08/22/2020
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