Provider Demographics
NPI:1447322649
Name:HEALTHY CHOICES COUNSELING
Entity type:Organization
Organization Name:HEALTHY CHOICES COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GUYETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:518-529-0951
Mailing Address - Street 1:82 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:MOIRA
Mailing Address - State:NY
Mailing Address - Zip Code:12957-2212
Mailing Address - Country:US
Mailing Address - Phone:518-529-0951
Mailing Address - Fax:
Practice Address - Street 1:82 CLARK ST
Practice Address - Street 2:
Practice Address - City:MOIRA
Practice Address - State:NY
Practice Address - Zip Code:12957-2212
Practice Address - Country:US
Practice Address - Phone:518-529-0951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health