Provider Demographics
NPI:1447637012
Name:CHOVAN COUNSELING INC
Entity type:Organization
Organization Name:CHOVAN COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:IL LCPC, GA LPC, AL
Authorized Official - Phone:334-845-4044
Mailing Address - Street 1:2489 COUNTY RD 79 SOUTH
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36027-5223
Mailing Address - Country:US
Mailing Address - Phone:815-582-5735
Mailing Address - Fax:
Practice Address - Street 1:2489 COUNTY RD 79 SOUTH
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-5223
Practice Address - Country:US
Practice Address - Phone:815-582-5735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-02
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X, 101YP2500X, 101YS0200X
IL180.008965251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty