Life Choice Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIFE CHOICE TREATMENT CENTER

Practice address

10214 Caddo TRL
Magnolia, TX 77354-4007

Phone

(337) 356-1516

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Matthiaus Guidry

Title

Owner

Phone

(337) 356-1516

Specialties & licenses 1

Addresses

Other names 1

• Life Choice Treatment Center Former legal business name

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1316437866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 LA HWY 700",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705486122",
            "telephone_number": "337-356-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 CADDO TRL",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544007",
            "telephone_number": "337-356-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "MATTHIAUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-356-1516"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Choice Treatment Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Leah Lewis, PA-C
• Tamara Lewis, PT
• Jusheng Li, LMT
• Ka Hing Li, DDS
• Qingqing Li
• Angela Marie Lilly, LPC
• Tonyia Lynn Lindsey
• Jennifer Elizabeth Lines, PHARMD
• Mia Gabriella Lira, RBT
• Julie Liska, PHARM. D.

• Substance Abuse Rehabilitation Facility in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.