A NEW SECOND CHANCE LLC NPI 1225857212

NPI Information

  • NPI: 1225857212
  • Provider Name: A NEW SECOND CHANCE LLC
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Organization
  • Address: 227 W 4TH ST STE 107
    CHARLOTTE, NC
    ZIP 28202
  • Phone: (704) 309-1969

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NPI Details

A NEW SECOND CHANCE LLC is a peer specialist in Charlotte, NC. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. A NEW SECOND CHANCE LLC NPI is 1225857212. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

227 W 4TH ST STE 107
CHARLOTTE, NC
ZIP 28202-545
Phone: (704) 309-1969

The provider's authorized official is Michael Lee .
The authorized official title is Owner and has the following contact phone number (704) 309-1969.

The enumeration date for this NPI number is 10/7/2024 and was last updated on 10/7/2024.

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
1175T00000XPeer SpecialistYes

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: 3/30/2025

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