SECOND START, LLC; NPI #1114449162

Contact Information

SECOND START, LLC

1432 BAYCHESTER AVE APT A4
NORFOLK, VA 23503-2320

Phone: 919-423-9062
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Counselor	101Y00000X
Addiction (Substance Use Disorder)	101YA0400X
Addiction (Substance Use Disorder)	103TA0400X	62	Psychologist, Clinical
Counseling	103TC1900X	62	Psychologist, Clinical
Marriage & Family Therapist	106H00000X
Mental Health	101YM0800X
Psychologist	103T00000X	62	Psychologist, Clinical
Social Worker	104100000X

Indicates primary specialty

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NPI Profile & details for SECOND START, LLC

NPI Number	`1114449162`
LBN Legal business name	SECOND START, LLC
Authorized official	JOY CHESTNUT - (QUALITY MANAGEMENT DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/12/2017
Last updated	07/21/2022 - About 4 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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SECOND START, LLC

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NPI Profile & details for SECOND START, LLC

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