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SECOND START LLC NPI 1114449162


NPI Information

NPI: 1114449162
Provider Name: SECOND START, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1432 BAYCHESTER AVE APT A4
NORFOLK, VA
ZIP 23503
Phone: (919) 423-9062
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SECOND START, LLC is a counselor in Norfolk, VA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SECOND START, LLC NPI is 1114449162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1432 BAYCHESTER AVE APT A4
NORFOLK, VA
ZIP 23503-320
Phone: (919) 423-9062

The provider's authorized official is Joy Chestnut .
The authorized official title is Quality Management Director and has the following contact phone number (704) 995-1656.

The enumeration date for this NPI number is 7/12/2017 and was last updated on 7/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)No
5103TC1900XPsychologistCounselingNo
6104100000XSocial WorkerNo
7106H00000XMarriage & Family TherapistNo
8101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.