SECOND CHANCE RECOVERY INCORPORATED NPI 1245784016

NPI Information

  • NPI: 1245784016
  • Provider Name: SECOND CHANCE RECOVERY INCORPORATED
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 11104 WEST AIRPORT BLVD. SUITE 214
    STAFFORD, TX
    ZIP 77477
  • Phone: (281) 835-4230

Map and Directions

Get Directions

NPI Details

SECOND CHANCE RECOVERY INCORPORATED is a rehabilitation and substance use disorder clinic center in Stafford, TX. SECOND CHANCE RECOVERY INCORPORATED NPI is 1245784016. The provider is registered as an organization entity type.

The provider's business location address is:

11104 WEST AIRPORT BLVD. SUITE 214
STAFFORD, TX
ZIP 77477
Phone: (281) 835-4230
Fax: (315) 628-1119

The provider's authorized official is Theresa Bannis .
The authorized official title is Ceo and has the following contact phone number (832) 869-8856.

The enumeration date for this NPI number is 8/10/2016 and was last updated on 8/10/2021.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder40824083TEXASNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

NPI Synchronization or Removal

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.