National Provider Identifier Database

SECOND HANDS REENTRY PROGRAM LLC
Adolescent and Children Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.


Contact Information

SECOND HANDS REENTRY PROGRAM, LLC
4941 U S HIGHWAY 29 STE C
BLAIRS, VA24527-2328
Phone: 336-695-8472
Fax:
Website:
Specialty Taxonomy Code
* Adolescent and Children Mental Health 261QM0855X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for SECOND HANDS REENTRY PROGRAM, LLC

NPI Number 1659136976
Legal business name
LBN
SECOND HANDS REENTRY PROGRAM, LLC
Authorized official MONTANA TARPLEY - (OWNER/CEO)
Entity Organization
Organization subpart No
Enumeration date 02/15/2024
Last updated 01/29/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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