2ND Chances LLC
Social Worker, Clinical in Windsor, Connecticut
1184227043- Practice location
- 30 Maple Ave Ste B-2, Windsor, CT 06095-2922
- Phone
- 860-386-8024
- Fax
- 800-989-4601
- Last updated
- November 20, 2020
2ND Chances LLC is a healthcare organization based in Windsor, CT. 2ND Chances LLC practices in Windsor, CT. The NPI Number for 2ND Chances LLC is 1184227043. The current practice location address for 2ND Chances LLC is 30 Maple Ave Ste B-2, Windsor, CT 06095-2922 and can be reached out via phone at 860-386-8024 and via fax at 800-989-4601.
Provider Profile Details
- NPI Number
- 1184227043
- Provider Name
- 2ND Chances LLC
- Provider Entity Type
- Organization
- Address
- 30 Maple Ave Ste B-2, Windsor, CT 06095-2922
- Phone Number
- 860-386-8024
- Fax Number
- 800-989-4601
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Korin Campbell, LCSW · Owner/Ceo · 860-386-8024
- Provider Enumeration Date
- November 20, 2020
- Last Update Date
- November 20, 2020
- Certification Date
- November 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Maple Ave Ste B-2
Windsor, CT 06095-2922 - City
- Windsor
- State
- Connecticut
- Zip
- 06095-2922
- Phone Number
- 860-386-8024
- Fax Number
- 800-989-4601
Provider Business Mailing Address Details
- Address
- 30 Maple Ave Ste B-2
Windsor, CT 06095-2922 - City
- Windsor
- State
- CT
- Zip
- 06095-2922
- Phone Number
- 860-386-8024
- Fax Number
- 800-989-4601
License Information
- Taxonomy (1)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 2ND Chances LLC?
The NPI number of 2ND Chances LLC is 1184227043. It was assigned on November 20, 2020 and is currently active in the NPPES registry.
What is the specialty of 2ND Chances LLC?
2ND Chances LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does 2ND Chances LLC practice?
The practice location is 30 Maple Ave Ste B-2, Windsor, CT 06095-2922. The office can be reached at 860-386-8024 (phone) or 800-989-4601 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184227043 directly on the NPPES registry website.