ANOTHER CHANCE 4 CHANGE NPI 1104122738

NPI Information

  • NPI: 1104122738
  • Provider Name: ANOTHER CHANCE 4 CHANGE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: ANOTHER CHANCE 4 CHANGE
  • Address: 2851 JOE DIMAGGIO BLVD
    STE 4
    ROUND ROCK, TX
    ZIP 78665
  • Phone: (512) 731-5243

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NPI Details

ANOTHER CHANCE 4 CHANGE is a substance abuse rehabilitation facility in Round Rock, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ANOTHER CHANCE 4 CHANGE NPI is 1104122738. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Another Chance 4 Change.

The provider's business location address is:

2851 JOE DIMAGGIO BLVD
STE 4
ROUND ROCK, TX
ZIP 78665-927
Phone: (512) 731-5243
Fax: (512) 238-1961

The provider's authorized official is Auburne L Gallagher .
The authorized official title is Owner/counselor and has the following contact phone number (512) 731-5243.

The enumeration date for this NPI number is 1/29/2011 and was last updated on 8/14/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)10616TEXASNo
2324500000XSubstance Abuse Rehabilitation Facility33763377TEXASYes

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: 11/21/2025

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