Provider Demographics
NPI:1174387708
Name:1ST CHOICE PLLC
Entity type:Organization
Organization Name:1ST CHOICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM AMIN
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:502-409-4357
Mailing Address - Street 1:3934 DIXIE HWY STE 330
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-4170
Mailing Address - Country:US
Mailing Address - Phone:502-409-4357
Mailing Address - Fax:
Practice Address - Street 1:3934 DIXIE HWY STE 330
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-4170
Practice Address - Country:US
Practice Address - Phone:502-409-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHOICES COUNSELING, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health