CHARLIE'S SECOND CHANCE COUNSELING, LLC (NPI# 1780195206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780195206 |
| Entity Type | Organization |
| Organization Name | CHARLIE'S SECOND CHANCE COUNSELING, LLC |
| Practice Address |
842 Oak St Gainesville GA 30501-3570 |
| Practice Telephone | 4702908684 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | MYRA MUCKLE (OWNER) |
| Authorized Official Telephone | 4702908684 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
842 OAK ST |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101204 | Beyond The Couch, LLC | Counselor | 18138 Camdenhurst Dr, Gainesville, VA 20155-6240 | 2020-07-22 |
| 1063067445 | Sarah Elizabeth Shelton | Counselor | 701 E California St Ste 205, Gainesville, TX 76240-4162 | 2019-08-02 |
| 1447729546 | Megan Bentley | Counselor | 915c Interstate Ridge Dr # C, Gainesville, GA 30501-7051 | 2018-11-19 |
| 1821585969 | Brooke A Atkinson | Counselor | 3030 Mcever Rd Ste 110, Gainesville, GA 30504-5538 | 2018-04-14 |
| 1770099764 | Grant Talor Bright | Counselor | 2205 Old Hamilton Pl Ste 400, Gainesville, GA 30507-8052 | 2017-12-28 |
| 1598270266 | Katrina Deanne Armstrong | Counselor | 7150 Heritage Village Plz Ste 201, Gainesville, VA 20155-3064 | 2017-12-04 |
| 1477066017 | Piedmont Professional Counseling | Counselor | 8751 Buckland Mill Rd, Gainesville, VA 20155-2015 | 2017-11-06 |
| 1386181907 | Amanda Martin | Counselor | 1235 Riverside Dr Apt E3, Gainesville, GA 30501-1846 | 2017-01-20 |
| 1922550581 | Jennifer Victoria Page | Counselor | 1745 Thompson Bridge Rd, Gainesville, GA 30501-1717 | 2016-10-31 |
| 1831648559 | Emily Sanders | Counselor | 7320 Heritage Village Plz, Gainesville, VA 20155-3079 | 2016-09-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on CHARLIE'S SECOND CHANCE COUNSELING, LLC.
| 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.