Second Chance Support Services Llc

LBN: Second Chance Support Services Llc
Second Chance Support Services Llc is an health care organization with primary practice located at 22 E Church St Ste 319 , Martinsville VA 24112-6208. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Second Chance Support Services Llc can be contacted via phone (276) 403-5084, or through Eanes, Kelly Robinson via phone (434) 203-7538.

Contact Information

Primary practice address
22 E Church St Ste 319 Martinsville VA 24112-6208
Phone: (276) 403-5084
Fax: (276) 403-4207
Website:
Map and Directions
Authorized official contact:
Name: Eanes, Kelly Robinson
Phone: (434) 203-7538

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1245795269
LBN Legal business name Second Chance Support Services Llc
DBA Doing business as
Authorized official Eanes, Kelly Robinson
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2019
Last updated Feb 4th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245795269 NPPES
Virginia Other S5590577 STATE CORPORATION COMMISSION

Popular Providers