CAMPBELL SECOND CHANCE RECOVERY CENTER (NPI# 1295377653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295377653 |
| Entity Type | Organization |
| Organization Name | CAMPBELL SECOND CHANCE RECOVERY CENTER |
| Practice Address |
601 Tarboro St Rocky Mount NC 27801-5955 |
| Mailing Address |
115 Appomattox Dr Cameron NC 28326-5536 |
| Practice Telephone | 9105566130 |
| Mailing Telephone | 9105566130 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | MRS. CYNTHIA ANN CAMPBELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9105566130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 344600000X | Taxi | Transportation Services | ||
| N | 344800000X | Air Carrier | Transportation Services | ||
| N | 347B00000X | Bus | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 347D00000X | Train | Transportation Services | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
601 TARBORO ST |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27801-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599861 | Cynthia Ann Campbell | Counselor | 601 Tarboro St, Rocky Mount, NC 27801-5955 | 2019-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070215 | My Guardian Angel Family Care Home | Custodial Care Facility | 514 Cokey Road, Rocky Mount, NC 27801 | 2020-10-15 |
| 1487268660 | Tiambra Armeire Battle | Occupational Therapist | 1900 Windsor Drive, Rocky Mount, NC 27801 | 2020-09-03 |
| 1639661796 | Opportunities Industrialization Center, Inc | Clinic/Center | 260 Albemarle Avenue, Rocky Mount, NC 27801 | 2018-06-05 |
| 1891290466 | Your Best Life Awaits Counseling & Coaching Institute, Pllc | Clinic/Center | 107 Se Main St Suite 203, Rocky Mount, NC 27801 | 2018-03-27 |
| 1922352434 | Southern Mattress Co. Inc. | Durable Medical Equipment & Medical Supplies | 1812 Cokey Road, Rocky Mount, NC 27801 | 2012-11-06 |
| 1275805046 | Kota Transport Service LLC | Non-emergency Medical Transport (VAN) | 1125 South Cambridge Circle, Rocky Mount, NC 27801 | 2012-02-08 |
| 1750543781 | Jones and Jones Enterprises LLC | Community/Behavioral Health | 907 East Holly Street, Rocky Mount, NC 27801 | 2008-07-01 |
| 1235316035 | Claire Smith | Pharmacist | 130 Sw Main Street, Almand's Drug Store, Rocky Mount, NC 27801 | 2008-01-24 |
| 1104007723 | House of Hope | Clinic/Center | 2416 Sheve Rd., Rocky Mount, NC 27801 | 2007-11-26 |
| 1376724039 | Brenda W Bryan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2001 Vernon Rd, Rocky Mount, NC 27801 | 2007-11-21 |
| Find all providers in zip 27801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093987 | Youth Connect of Virginia, Inc. | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151 | 2018-05-15 |
| 1235502675 | Deanna Dick | Counselor | 110 Franklin St Ste A, Rocky Mount, VA 24151-1352 | 2015-11-06 |
| 1114324084 | George Shell | Counselor | 2433 Shreve Rd, Rocky Mount, NC 27801-5110 | 2014-11-20 |
| 1891048492 | Premier Healthcare Solutions | Counselor | 1120 Nashville Rd, Rocky Mount, NC 27803-2433 | 2012-10-19 |
| 1760756084 | Elizabeth Ashley Callahan | Counselor | 235 Claiborne Ave, Suite 200, Rocky Mount, VA 24151-1438 | 2012-03-05 |
| 1780954891 | Erica Byrd Wright | Counselor | 1233 Fairway Ter, Rocky Mount, NC 27804-9619 | 2012-01-05 |
| 1770867152 | Starting Pointe, Inc. | Counselor | 301 South Church Street, Suite 270, Rocky Mount, NC 27804-5749 | 2011-10-04 |
| 1174844120 | Barbara Judy Davis | Counselor | 3620 Woodlawn Rd, Rocky Mount, NC 27804-3348 | 2010-06-14 |
| 1467779603 | Straight Walk Family Services,inc | Counselor | 3208 Sunset Ave Ste B, Rocky Mount, NC 27804-3590 | 2010-04-28 |
| 1295908556 | Evora Carlton | Counselor | 1817 Lynne Ave, Rocky Mount, NC 27801-6327 | 2008-04-08 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27801 |
Please comment or provide details below to improve the information on CAMPBELL SECOND CHANCE RECOVERY CENTER.
| 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.