CHOICES CHANGES ATTITUDES, LLC (NPI# 1679633515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679633515 |
| Entity Type | Organization |
| Organization Name | CHOICES CHANGES ATTITUDES, LLC |
| Practice Address |
801 Space Dr Beavercreek OH 45434-7162 |
| Practice Telephone | 9374313870 |
| Practice Fax Number | 9374313871 |
| Mailing Telephone | 9374313870 |
| Mailing Fax Number | 9374313871 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LEANNA E MANUEL (DIRECTOR) |
| Authorized Official Telephone | 9374313870 |
| Authorized Official Credential | R.N., PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| X | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2261421 | 05 |
| Street Address |
801 SPACE DR |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45434-7162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659436582 | Georgeanna Jane Shirley | Counselor | 801 Space Dr, Beavercreek, OH 45434-7162 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
| 1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
| 1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
| 1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
| 1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
| 1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
| 1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
| 1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
| 1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
| Find all providers in zip 45434 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790161842 | Marjorie Wing Kavanaugh | Counselor | 2425 Mallard Ln., #3, Beavercreek, OH 45431-3678 | 2015-07-30 |
| 1932376977 | A New Direction for Counseling | Counselor | 1411 N Fairfield Rd Ste A, Beavercreek, OH 45432-2683 | 2008-05-09 |
| 1265639991 | Mark R Stobie | Counselor | 1324 Parkway Ct, Beavercreek, OH 45432-2601 | 2007-06-27 |
| 1790814937 | Nicole L Wagstrom | Counselor | 801 Space Drive, Beavercreek, OH 45434-7162 | 2007-03-05 |
| 1376588301 | Jerry William Mccluer | Counselor | 1374 N Fairfield Rd, Suite B, Beavercreek, OH 45432-2676 | 2006-06-16 |
| 1437132974 | Miami Valley Counseling and Hypnosis Center | Counselor | 1255 N Fairfield Rd, Beavercreek, OH 45432-2668 | 2005-11-29 |
| 1659371292 | Patricia A Kaniuga | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2658 | 2005-07-26 |
| 1043825102 | Brooke Schmidt | Counselor | 3171 Beaver Vu Dr Ste C, Beavercreek, OH 45434-6368 | 2020-09-14 |
| 1437781382 | Sheri Lynne Coffman | Counselor | 3183 Beaver Vu Dr Ste C, Beavercreek, OH 45434-6385 | 2020-02-09 |
| 1265962161 | Carmen Marie Speller | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2017-06-14 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45434 |
Please comment or provide details below to improve the information on CHOICES CHANGES ATTITUDES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.