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Contact Information

2ND CHANCES LLC
30 MAPLE AVE STE B-2
WINDSOR, CT06095-2922
 Phone: 860-386-8024
 Fax: 800-989-4601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for 2ND CHANCES LLC

NPI Number 1184227043
LBN Legal business name 2ND CHANCES LLC
Authorized official KORIN CAMPBELL - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2020
Last updated 11/20/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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