Organization
CHOICES SA MH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BARBARA HESTER LPC, LCAS (CLINICAL DIRECTOR)
(252) 439-1886
Entity
Organization
Contact information
Practice address
601 COUNTRY CLUB DR STE A, GREENVILLE, NC 27834-6124
(252) 439-1886
(252) 695-0042
Mailing address
601 COUNTRY CLUB DR STE A, GREENVILLE, NC 27834-6124
(252) 439-1886
(252) 695-0042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL 074-162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605864
—
NC
05
—
6102862
—
NC
05
—
6111761
—
NC
Enumeration date
04/12/2007
Last updated
01/06/2010
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