Choosing Change Residential Services LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CHOOSING CHANGE RESIDENTIAL SERVICES LLC

Practice address

6333 Fresh Wind Ave
Charlotte, NC 28212-4557

Phone

(704) 503-9129

NPI assigned

Dec 13, 2020

Last updated

Dec 13, 2020By 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

Simone ReevesNPI 1528237369

Title

Owner

Phone

(980) 339-0307

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Simone Stephens Reeves, MA,LPC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1528237369
  NPD Authorized official

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1528654746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 FRUEHAUF DR STE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282730043",
            "telephone_number": "880-339-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 FRESH WIND AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282124557",
            "telephone_number": "704-503-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOOSING CHANGE RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-12",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-339-0307"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yera Viral Chokshi, D.O.
• Prisca Nana Chonah, PHARMACIST
• Hoo Feng Choo, MD
• Choose Better 4 U, PLLC
• Choose Your Conscience, PLLC
• Angela Bean Chop, PSYD
• Chopra & Tadrissi PLLC (Ballantyne Endodontics)
• Dana Williams Chopra, M.D.
• Sonia Chopra, D.D.S.
• Chosen Health Care Services Inc.

• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.