Organization · NPI-2
1st Choice PLLC
Nurse Practitioner · Louisville, KY
NPI number1174387708
StatusActive
Last updated in NPPESJul 26, 2025
Details
- NPI
- 1174387708
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Choice PLLC
- Organization subpart
- Yes
- Enumeration date
- Feb 13, 2024
- Certification date
- Jul 26, 2025
- Last updated
- Jul 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 174400000X | Specialist | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
3934 Dixie Hwy Ste 330Louisville, KY 40216-4170
Phone 502-409-4357
Mailing address
3934 Dixie Hwy Ste 330Louisville, KY 40216-4170
Phone 502-409-4357
Authorized official
Eva Archie
Program Amin
5024094357
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