2ND CHANCE AT LIFE, LLC (NPI# 1730692252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730692252 |
| Entity Type | Organization |
| Organization Name | 2ND CHANCE AT LIFE, LLC |
| Practice Address |
10425 Nw 2nd Ct Miami FL 33150-1128 |
| Mailing Address |
5711 Nw 21st St Apt 18b Lauderhill FL 33313-3108 |
| Practice Telephone | 7862812086 |
| Mailing Telephone | 2392709745 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Authorized Official Name | NATHALIE R GILLES (MANAGER) |
| Authorized Official Telephone | 2392709745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
FL | Behavioral Health & Social Service Providers |
| Street Address |
10425 NW 2ND CT |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739337 | Lidia Alejandra Martinez | Counselor | 17250 Sw 192nd St, Miami, FL 33187-5101 | 2020-08-03 |
| 1437787199 | Taylor J Magri | Counselor | 58 Ne 14th St Apt 2622, Miami, FL 33132-1472 | 2020-03-30 |
| 1841835105 | Sashana Leslie | Counselor | 500 Nw 165th Street Rd # 100, Miami, FL 33169-6306 | 2019-11-11 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1700327608 | Yusley Perez | Counselor | 14484 Sw 174th St, Miami, FL 33177-6637 | 2017-03-13 |
| 1699121855 | Lizette Marie Lopez | Counselor | 10631 N Kendall Dr Ste 155, Miami, FL 33176-1559 | 2016-05-06 |
| 1932574308 | Sunshine Behavior Center, Inc | Counselor | 9600 Sw 8th St Ste 1, Miami, FL 33174 | 2015-12-09 |
| 1841662764 | Rey Santana | Counselor | 9290 Sunset Dr, Suite # 106, Bldg. #2, Miami, FL 33173-3236 | 2015-10-30 |
| 1508263682 | Gema Yudit Der Rohe-borghese | Counselor | 2965 Sw 16th St, Miami, FL 33145-1143 | 2014-12-04 |
| 1508267402 | Robert Niznik | Counselor | 1966 Ne 125th Street #210, Miami, FL 33181-2004 | 2014-09-10 |
| Find all providers in MIAMI | ||||
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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.