SECOND CHANCES YOUTH SERVICES (NPI# 1760755383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755383 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCES YOUTH SERVICES |
| Practice Address |
601 N Mechanic St Suite 414 Franklin VA 23851-1455 |
| Practice Telephone | 8047331180 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | TANIKKA MASON (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8047331180 |
| Authorized Official Credential | B.S. QMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1389-05-001 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1831420660 | 05 | |
| VA | 1245530500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978674 | Second Chances Youth Services | Community/Behavioral Health | 5801 Allentown Rd Ste 308, Camp Springs, MD 20746-4566 | 2019-08-20 |
| 1427505379 | Second Chances Youth Services | Community/Behavioral Health | 207 Business Park Dr, Suite 201, Va Beach, VA 23462-6536 | 2016-09-08 |
| 1003196379 | Second Chances Youth Services | Community/Behavioral Health | 139b Baker St, Emporia, VA 23847-1703 | 2011-08-18 |
| 1154861631 | Second Chances Youth Services | Community/Behavioral Health | 527 N Main St, Emporia, VA 23847-1235 | 2017-03-02 |
| 1326420571 | Second Chances Youth Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2002 Wakefield Ave, Petersburg, VA 23805-2112 | 2015-06-24 |
| 1174957591 | Second Chances Youth Services | Community/Behavioral Health | 2002 Wakefield Ave, Petersburg, VA 23805-2112 | 2013-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Second Chances Youth Services L.L.C. | 320 E. Broadway, Hopewell, Virginia 23860 |
| Street Address |
601 N MECHANIC ST SUITE 414 |
| City | FRANKLIN |
| State | VA |
| Zip Code | 23851-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790716009 | Stacey Yvonne Scott | Psychologist | 601 N Mechanic St, Suite 305, Franklin, VA 23851-1455 | 2006-07-05 |
| 1700486099 | Cardinal Care Psychiatric Services | Psychiatry & Neurology | 601 N Mechanic St, Franklin, VA 23851-1455 | 2020-10-27 |
| 1811467012 | Regina Crockett | Home Health Aide | 601 N Mechanic St, Franklin, VA 23851-1455 | 2018-11-29 |
| 1548660210 | Helping Hands Sitter Service LLC | Hospice Care, Community Based | 601 N Mechanic St, Suite 401, Franklin, VA 23851-1455 | 2014-08-29 |
| 1538407275 | Individual Choices, Inc. | Community Based Residential Treatment Facility, Mental Illness | 601 N Mechanic St, Suite 308, Franklin, VA 23851-1455 | 2013-01-30 |
| 1851674881 | Preferred Medical Transportation | Non-emergency Medical Transport (VAN) | 601 N Mechanic St, Franklin, VA 23851-1455 | 2011-09-26 |
| 1326281932 | New Hope Family & Youth Relations, Inc. | Day Training, Developmentally Disabled Services | 601 N Mechanic St, Suite 117, Franklin, VA 23851-1455 | 2009-04-13 |
| 1851530042 | Latch Key Projects, LLC | Day Training, Developmentally Disabled Services | 601 N Mechanic St, #124, Franklin, VA 23851-1455 | 2009-02-11 |
| 1588812507 | Raiford Psychological Services, Pllc | Psychologist | 601 N Mechanic St, Suite 204, Franklin, VA 23851-1455 | 2008-09-03 |
| 1831361682 | Deborah Barham | Counselor | 601 N Mechanic St, Suite 220, Franklin, VA 23851-1455 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831615582 | Harris Medical Transport Limited Liability | Non-emergency Medical Transport (VAN) | 31181 Darden Street, Franklin, VA 23851 | 2017-08-15 |
| 1366962276 | Miangel Home Healthcare, LLC | Respite Care | 601 N. Mechanic St, Suite 302, Franklin, VA 23851 | 2017-06-21 |
| 1386022911 | Dawn C Womble | Registered Nurse | 601 N. Mechanic Street Suite Ab, Franklin, VA 23851 | 2015-05-15 |
| 1386085942 | Afreeda Adnan Hashmi | Family Medicine | 102 Fairview Dr Ste B, Franklin, VA 23851 | 2013-07-11 |
| 1891033213 | Ashley Hedspeth Alexander | Nurse Practitioner | 1378 Armory Dr, Franklin, VA 23851 | 2013-01-18 |
| 1336447242 | Community Choice Medical Supplies | Durable Medical Equipment & Medical Supplies | 1333 Carrsville Highway, Isle of Wight County, VA 23851 | 2011-03-02 |
| 1992940522 | Kelly Jeanne Hengler | Family Medicine | 118 Fairview Dr Ste F, Franklin, VA 23851 | 2008-12-11 |
| 1649476888 | Wesley Gunther Saher | Family Medicine | 1376 Armory Dr, Franklin, VA 23851 | 2007-06-25 |
| 1932321585 | Ping Gao | Physician Assistant | 102 Fairview Drive, Suite G, Franklin, VA 23851 | 2007-05-03 |
| 1245399112 | Rudy E Kokich | Specialist | 104 Fairview Drive, Suite 110, Franklin, VA 23851 | 2006-12-07 |
| Find all providers in zip 23851 | ||||
| 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 |
|---|---|---|---|---|
| 1255822060 | Hazelwood Healthcare Pllc | Community/Behavioral Health | 3271 Georgia Rd, Franklin, NC 28734-9603 | 2018-05-29 |
| 1538688536 | Creating Second Chances, LLC | Community/Behavioral Health | 103 W 4th Ave, Franklin, VA 23851-1731 | 2017-09-12 |
| 1851810659 | Southern Support Behavioral Health Care LLC | Community/Behavioral Health | 300 N Main St Ste 205, Franklin, VA 23851-1756 | 2017-09-12 |
| 1447601711 | Mobile Counseling Associates Limited Liability Company | Community/Behavioral Health | 173 Aires Hill Rd, Franklin, PA 16323-7801 | 2016-06-28 |
| 1316393614 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 725 Cool Springs Blvd Ste 600, Franklin, TN 37067-2702 | 2016-05-05 |
| 1508224627 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 1166 Iotla Church Rd, Franklin, NC 28734 | 2016-02-03 |
| 1144688268 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 161 Clarks Chapel Rd, Franklin, NC 28734 | 2016-02-03 |
| 1144604927 | Cover 3 Counseling | Community/Behavioral Health | 125 S College Dr, Franklin, VA 23851-2425 | 2015-07-12 |
| 1841673944 | Turning Point Services, Inc. | Community/Behavioral Health | 133 E Palmer St Ste 203, Franklin, NC 28734-3040 | 2015-07-07 |
| 1821478066 | Macon Citizens Habilities, Inc. | Community/Behavioral Health | 722 Harrison Ave, Franklin, NC 28734-2583 | 2015-06-03 |
| Find all providers in FRANKLIN | ||||
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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.