SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC (NPI# 1134610322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134610322 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC |
| Practice Address |
2502 Maryland Ave Baltimore MD 21218-4510 |
| Mailing Address |
10045 Ardenne Way Owings Mills MD 21117-4072 |
| Practice Telephone | 4105049048 |
| Mailing Telephone | 4105049048 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | TOWANDA TAYLOR (CEO) |
| Authorized Official Telephone | 4105049048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490838 | Second Chance Behavioral Health Center LLC | Psychiatric Hospital | 5517 Ritchie Hwy, Brooklyn Park, MD 21225-3457 | 2020-06-03 |
| 1275157505 | Second Chance Behavioral Health Center LLC | Clinic/Center | 5517 Ritchie Hwy, Brooklyn Park, MD 21225-3457 | 2020-06-02 |
| 1134618838 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1093204794 | Second Chance Behavioral Health Center LLC | Substance Abuse Rehabilitation Facility | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1699264317 | Second Chance Behavioral Health Center LLC | Pharmacy | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1992294698 | Second Chance Behavioral Health Center LLC | Clinical Medical Laboratory | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1811486715 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1619495876 | Second Chance Behavioral Health Center LLC | Behavior Technician | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2017-09-07 |
| Street Address |
2502 MARYLAND AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346454147 | Aisha Dawn Mackall | Social Worker | 2502 Maryland Ave, 1st Floor, Baltimore, MD 21218-4510 | 2007-05-10 |
| 1134618838 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1093204794 | Second Chance Behavioral Health Center LLC | Substance Abuse Rehabilitation Facility | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1699264317 | Second Chance Behavioral Health Center LLC | Pharmacy | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1992294698 | Second Chance Behavioral Health Center LLC | Clinical Medical Laboratory | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1811486715 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1891298279 | Second Chance Behavioral Health Services | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-03-13 |
| 1619495876 | Second Chance Behavioral Health Center LLC | Behavior Technician | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111306 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 203924, Baltimore, MD 21202-4736 | 2019-12-12 |
| 1376196659 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 204-206, Baltimore, MD 21202-4736 | 2019-07-16 |
| 1063980464 | Mercy Mental Healthcare Services, Inc | Psychologist | 20 S Hilton St, Baltimore, MD 21229-3724 | 2018-11-05 |
| 1669957544 | Tracey Andrea Royster-bennett | Psychologist | 3455 Wilkens Ave Ste 203, Baltimore, MD 21229-5265 | 2018-09-26 |
| 1376038976 | Gia Monique Winfield | Psychologist | 2118 N Charles St Apt 2, Baltimore, MD 21218-5797 | 2018-06-26 |
| 1841705407 | Conduit Inc | Psychologist | 3901 Park Heights Ave, Baltimore, MD 21215-7013 | 2017-12-05 |
| 1831562040 | Christopher Lloyd Matih Sr. | Psychologist | Community Bridge Builders of Maryland LLC, 5900 York Road, Suite 206, Baltimore, MD 21212-3041 | 2015-11-10 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
| 1033680749 | American Psychiatric Group Pa | Psychologist | 17 E Franklin St, Baltimore, MD 21202-2203 | 2018-12-07 |
| Find all providers in BALTIMORE | ||||
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| 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.