CAROLINA CHOICE LLC NPI 1770619744

NPI Information

NPI: 1770619744
Provider Name: CAROLINA CHOICE LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 34D2285053

Address:
114 N SPRUCE STREET
WILSON, NC
ZIP 27893
Phone: (252) 234-0200
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CAROLINA CHOICE LLC is a mental health counselor in Wilson, NC. CAROLINA CHOICE LLC NPI is 1770619744. The provider is registered as an organization entity type.

The provider's business location address is:

114 N SPRUCE STREET
WILSON, NC
ZIP 27893-000
Phone: (252) 234-0200
Fax: (252) 633-1548

The provider's authorized official is Lindsey Schmidt .
The authorized official title is Billing Officer and has the following contact phone number (252) 633-3855.

The CLIA number assigned to this NPI record is 34D2285053 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 10/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8300912R	MEDICAID	NORTH CAROLINA
2	8300912	MEDICAID	NORTH CAROLINA
3	8300912H	MEDICAID	NORTH CAROLINA
4	8300912B	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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