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
Fax: (336) 617-0964
Website:
Authorized official contact:
Name: Nickerson, Crystal Eyvette Bachelor of Arts (BA)

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932479045 NPPES
North Carolina MEDICAID 3418853
North Carolina MEDICAID 8702219

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