SECOND CHANCES COMPREHENSIVE SERVICES (NPI# 1013400233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013400233 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCES COMPREHENSIVE SERVICES |
| Practice Address |
4821 Carr Dr Fredericksburg VA 22408-2689 |
| Mailing Address |
320 E Broadway Hopewell VA 23860-2812 |
| Practice Telephone | 8047331180 |
| Mailing Telephone | 8046685015 |
| Mailing Fax Number | 8047331181 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | TANIKKA LASHELLE MASON (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 8047213306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245530500 | Second Chances Comprehensive Services | Community/Behavioral Health | 1919 Commerce Dr, Suite 420, Hampton, VA 23666-4269 | 2010-11-02 |
| Street Address |
4821 CARR DR |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104448 | Online Counseling Services of Virginia, LLC | Community/Behavioral Health | 22 Enchanted Oak Dr, Fredericksburg, VA 22405-5792 | 2019-06-27 |
| 1073001749 | Pathways To Life, Inc. | Community/Behavioral Health | 109 Olde Greenwich Dr Ste 101, Fredericksburg, VA 22408-4022 | 2018-04-27 |
| 1225417215 | Family Preservation Services, Inc | Community/Behavioral Health | 10304 Spotsylvania Ave, Suite 401, Fredericksburg, VA 22408-8602 | 2015-05-22 |
| 1295146868 | Family Preservation Services, Inc. | Community/Behavioral Health | 109 Olde Greenwich Dr, Suite 101, Fredericksburg, VA 22408-4022 | 2014-05-16 |
| 1992074108 | Family Preservation Services, Inc. | Community/Behavioral Health | 5995 Plank Rd, Fredericksburg, VA 22407-6231 | 2011-12-16 |
| 1275802480 | Family Preservation Services, Inc. | Community/Behavioral Health | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2011-12-16 |
| 1457620668 | Family Preservation Services, Inc. | Community/Behavioral Health | 7320 Smith Station Rd, Fredericksburg, VA 22407-1738 | 2011-12-16 |
| 1013286483 | Family Preservation Services, Inc | Community/Behavioral Health | 3600 Lee Hill Drive, Fredericksburg, VA 22408 | 2011-12-14 |
| 1740565993 | Family Preservation Services, Inc | Community/Behavioral Health | 6230 Harrison Rd, Fredericksburg, VA 22407-6364 | 2011-10-19 |
| 1083993844 | Family Preservation Services, Inc | Community/Behavioral Health | 11108 Leavells Rd, Fredericksburg, VA 22407-5014 | 2011-08-11 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
Please comment or provide details below to improve the information on SECOND CHANCES COMPREHENSIVE SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.