The Southern Center for Choice Theory

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE SOUTHERN CENTER FOR CHOICE THEORY

Practice address

411 Holt Ave
Macon, GA 31204-3667

Phone

(478) 741-1268

Fax

(478) 741-1269

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Prof. Gloria Smith Cisse, LMSW, LPC

Title

Ceo/Lead Therapist

Phone

(478) 741-1268

Specialties & licenses 1

Addresses

Tax ID family

The Southern Center for Choice Theory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Southern Center for Choice Theory, LLC

  • Mental Health Counselor
  • Macon, GA
  • NPI 1063765881
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1265893796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HOLT AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043667",
            "telephone_number": "478-741-1268",
            "fax_number": "478-741-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HOLT AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043667",
            "telephone_number": "478-741-1268",
            "fax_number": "478-741-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOUTHERN CENTER FOR CHOICE THEORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "CISSE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CEO/LEAD THERAPIST",
        "authorized_official_telephone_number": "478-741-1268",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LMSW, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Medical Center of Central Georgia, Inc. (AHC Pharmacy Services)
• The Medical Center of Central Georgia, Inc. (Atrium Health Navicent Behavioral Health)
• The Messenger Transport Service
• The Nexus Medical Group, LLC
• The Psychiatric Center
• The Southern Center for Choice Theory, LLC
• The Speech Path LLC
• The Speech Path, LLC
• The Total Woman Healthcare Center, P.C.
• The Women's Health Institute of Macon, PC

• Professional Counselor in Macon, GA
• Providers in Macon, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.