CAMPBELL SECOND CHANCE RECOVERY CENTER NPI 1295377653

NPI Information

  • NPI: 1295377653
  • Provider Name: CAMPBELL SECOND CHANCE RECOVERY CENTER
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 601 TARBORO ST
    ROCKY MOUNT, NC
    ZIP 27801
  • Phone: (910) 556-6130

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NPI Details

CAMPBELL SECOND CHANCE RECOVERY CENTER is a mental health counselor in Rocky Mount, NC. CAMPBELL SECOND CHANCE RECOVERY CENTER NPI is 1295377653. The provider is registered as an organization entity type.

The provider's business location address is:

601 TARBORO ST
ROCKY MOUNT, NC
ZIP 27801-955
Phone: (910) 556-6130

The provider's authorized official is Cynthia Ann Campbell .
The authorized official title is Executive Director and has the following contact phone number (910) 556-6130.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 10/16/2019.

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
1174200000XMealsNo
2177F00000XLodgingNo
3251B00000XCase ManagementNo
4251J00000XNursing CareNo
5251K00000XPublic Health or WelfareNo
6251V00000XVoluntary or CharitableNo
7261QM0850XClinic/CenterAdult Mental HealthNo
8261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
9322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
10344600000XTaxiNo
11344800000XAir CarrierNo
12347B00000XBusNo
13347C00000XPrivate VehicleNo
14347D00000XTrainNo
15101YM0800XCounselorMental HealthYes

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: 3/30/2025

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