Provider Demographics
NPI:1174073027
Name:CHOICES COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:CHOICES COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL SOLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:863-452-0710
Mailing Address - Street 1:2713 N SENECA DRIVE EAST
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-7744
Mailing Address - Country:US
Mailing Address - Phone:863-452-0710
Mailing Address - Fax:
Practice Address - Street 1:2713 N SENECA DRIVE EAST
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-7744
Practice Address - Country:US
Practice Address - Phone:863-452-0710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)