SECOND CHANCE BEHAVIORAL HEALTH NPI 1205341112

NPI Information

NPI: 1205341112
Provider Name: SECOND CHANCE BEHAVIORAL HEALTH
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1425 S GLENBURNIE RD STE 3
NEW BERN, NC
ZIP 28562
Phone: (252) 514-9888
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SECOND CHANCE BEHAVIORAL HEALTH is a mental health counselor in New Bern, NC. SECOND CHANCE BEHAVIORAL HEALTH NPI is 1205341112. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1425 S GLENBURNIE RD STE 3
NEW BERN, NC
ZIP 28562-610
Phone: (252) 514-9888
Fax: (252) 514-2881

The provider's authorized official is Tysha D Ushry .
The authorized official title is Owner/therapist and has the following contact phone number (910) 333-2789.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 2/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	11560	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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