Provider Demographics
NPI:1649496035
Name:CHOICE, GERRY ANN (LMSW)
Entity type:Individual
Prefix:MS
First Name:GERRY
Middle Name:ANN
Last Name:CHOICE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SR L THORNTON FWY STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1841
Mailing Address - Country:US
Mailing Address - Phone:214-942-1262
Mailing Address - Fax:214-948-9517
Practice Address - Street 1:320 SR L THORNTON FWY STE 110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1841
Practice Address - Country:US
Practice Address - Phone:214-942-1262
Practice Address - Fax:214-948-9517
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1806168Medicaid