Miracles Of A Second Chance Inc is a Psychiatric/Mental Health Nurse Practitioner based in Sierra Vista, AZ and is specialized in Psychiatric/Mental Health. Miracles Of A Second Chance Inc practices in Bisbee, AZ. The NPI Number for Miracles Of A Second Chance Inc is 1710740097 and holds a License No. (Arizona).
The current practice location address for Miracles Of A Second Chance Inc is 507 19Th Ter, Bisbee, AZ and can be reached out via phone at 520-255-2158. You can also correspond with Miracles Of A Second Chance Inc through the mailing address at 415 BERNINI AVE, SIERRA VISTA, AZ - 85635-2369 (mailing address contact number: 520-456-6062).
Location: 507 19Th Ter, Bisbee, AZ, 85635-2369
Provider Profile Details
NPI Number
1710740097
Provider Name
Miracles Of A Second Chance Inc
Credential
Provider Entity Type
Organization
Address
507 19Th Ter, Bisbee, AZ, 85635-2369
Phone Number
520-255-2158
Fax Number
Provider Enumeration Date
01/31/2024
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962572008 | 05 | AZ | |
| 1518503945 | 05 | AZ |
Provider Business Practice Location Address Details
Address
507 19Th Ter
City
State
Zip
85603-1705
Phone Number
520-255-2158
Fax Number
Provider Business Mailing Address Details
Address
415 Bernini Ave
City
State
Zip
85635-2369
Phone Number
520-456-6062
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Provider's Taxonomy Details 4
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
License No.
()
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Provider's Taxonomy Details 5
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
License No.
()
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Provider's Taxonomy Details 6
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
()
Definition
Definition to come.
Provider's Taxonomy Details 8
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Provider's Taxonomy Details 9
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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