Choice Behavioral Health & Consultation Services
LBN: Crystal E.Nickerson, Llc
Choice Behavioral Health & Consultation Services is an health care organization with primary practice located at 2302 W Meadowview Rd Suite 228, Box 24, Greensboro NC 27407-3721. The organization recently has only one registered license in Respite Care Facility / Respite Care, which is considered as the primary health care specialty.
Crystal E.Nickerson, Llc can be contacted via phone (336) 617-0764, or through Nickerson, Crystal Eyvette via phone (336) 617-0764.
Contact Information
Primary practice address
2302 W Meadowview Rd Suite 228, Box 24
Greensboro NC 27407-3721
Phone: (336) 617-0764
Fax: (336) 617-0964
Website:
Authorized official contact:
Name: Nickerson, Crystal Eyvette Bachelor of Arts (BA)
Phone: (336) 617-0764
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care | 385H00000X |
Profile Details
| NPI number | 1932479045 |
|---|---|
| LBN Legal business name | Crystal E.Nickerson, Llc |
| DBA Doing business as | Choice Behavioral Health & Consultation Services |
| Authorized official | Nickerson, Crystal Eyvette Bachelor of Arts (BA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2012 |
| Last updated | Jan 5th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932479045 | NPPES |
| North Carolina | MEDICAID | 3418853 | |
| North Carolina | MEDICAID | 8702219 |
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