Second Chances Peer Support LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SECOND CHANCES PEER SUPPORT LLC

Practice address

3226 Lilac Grove Dr
Charlotte, NC 28269-0652

Phone

(704) 299-2825

Fax

(704) 299-2825

NPI assigned

Apr 22, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ebony Keith, KEITH

Title

Cfo

Phone

(704) 299-2825

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1073458220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 LILAC GROVE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690652",
            "telephone_number": "704-299-2825",
            "fax_number": "704-299-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 LILAC GROVE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690652",
            "telephone_number": "704-299-2825",
            "fax_number": "704-299-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCES PEER SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-299-2825",
        "authorized_official_credential": "KEITH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.