SECOND CHANCE OR MORE COUNSELING SERVICES (NPI# 1851836597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851836597 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE OR MORE COUNSELING SERVICES |
| Practice Address |
110 Evans Mill Dr Suite 401 Dallas GA 30157-1622 |
| Mailing Address |
Po Box 1018 Hiram GA 30141-1018 |
| Practice Telephone | 4074625483 |
| Mailing Telephone | 4074625483 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | DR. NINA A. WHITE (DIRECTOR/OWNER) |
| Authorized Official Telephone | 4074625483 |
| Authorized Official Credential | PHD, LPC,LMHC,MF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC007084 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00313130 | 05 |
| Street Address |
110 EVANS MILL DR SUITE 401 |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184795080 | Mark Stephen Wolfe | Marriage & Family Therapist | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2006-11-13 |
| 1669906228 | Odette Amanda Prince | Registered Nurse | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2017-04-20 |
| 1780032490 | Warren Smith | Chiropractor | 110 Evans Mill Dr, Suite 301, Dallas, GA 30157-1622 | 2016-06-03 |
| 1669820379 | Precision Chiropractic Corporation | Chiropractor | 110 Evans Mill Dr, Suie 301, Dallas, GA 30157-1622 | 2016-06-03 |
| 1245612191 | Ironwood Counseling LLC | Counselor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2015-06-26 |
| 1215338652 | Diana Keys | Counselor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2014-09-04 |
| 1316376890 | Kimdi Joy Fair | Chiropractor | 110 Evans Mill Dr, Suite 105, Dallas, GA 30157-1622 | 2013-11-05 |
| 1093144768 | Jeffrey Kilheffer | Chiropractor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2013-11-04 |
| 1255767232 | Jno, Inc. | In Home Supportive Care | 110 Evans Mill Dr, Suite 801, Dallas, GA 30157-1622 | 2013-09-23 |
| 1447595806 | Lthw Surgical, LLC | Surgery | 110 Evans Mill Dr, Suite 401, Dallas, GA 30157-1622 | 2012-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| 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 |
|---|---|---|---|---|
| 1821603390 | Allison A Roberts | Community/Behavioral Health | 8403 Midway Rd, Dallas, TX 75209-2835 | 2020-09-11 |
| 1033736582 | Jomarv Inc | Community/Behavioral Health | 326 E 12th St, Dallas, TX 75203-2606 | 2020-07-01 |
| 1578189940 | Your Discovery Place Inc | Community/Behavioral Health | 3155 S Lancaster Rd Ste 200, Dallas, TX 75216-4586 | 2020-06-22 |
| 1205459062 | Trinity Counseling and Wellness Services | Community/Behavioral Health | 1910 Pacific Ave Ste 14160, Dallas, TX 75201-4753 | 2020-05-27 |
| 1437799350 | Ayuda Health Partners, LLC | Community/Behavioral Health | 2600 Cole Ave Apt 408, Dallas, TX 75204-4023 | 2020-01-08 |
| 1780242214 | Precision Behavioral Health Services, LLC | Community/Behavioral Health | 14100 Montfort Dr, Ste 1236, Dallas, TX 75254-3021 | 2019-05-30 |
| 1508328287 | New Hope Counseling Agency | Community/Behavioral Health | 4311 Belmont Ave Ste 105, Dallas, TX 75204-3032 | 2019-04-02 |
| 1669938544 | Patricia Ann Smith | Community/Behavioral Health | 385 Victoria Heights Dr, Dallas, GA 30132-9276 | 2019-02-14 |
| 1639657976 | Job Sterling | Community/Behavioral Health | 1409 N Zang Blvd Apt 218, Dallas, TX 75203-1203 | 2018-07-30 |
| 1063900090 | Paul Kehinde Aremu | Community/Behavioral Health | 9830 Paramount Ave, Dallas, TX 75217-3762 | 2018-04-25 |
| Find all providers in DALLAS | ||||
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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.