Active NPI
Second Life Behavioral Health & Recovery Services LLC
- Clinical Social Worker
- Savannah, GA
National Provider Identifier
1174431001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SECOND LIFE BEHAVIORAL HEALTH & RECOVERY SERVICES LLC
- Practice address
- 109 Fenway St
Savannah, GA 31407-1216 - Phone
- (413) 320-1124
- NPI assigned
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Williams, LICSW, LADC1
- Title
- Owner/Ceo
- Phone
- (413) 320-1124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
109 Fenway St
Savannah, GA 31407-1216
Mailing address
109 Fenway St
Savannah, GA 31407-1216
Phone (413) 320-1124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1174431001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 FENWAY ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314071216",
"telephone_number": "413-320-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 FENWAY ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314071216",
"telephone_number": "413-320-1124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND LIFE BEHAVIORAL HEALTH & RECOVERY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "413-320-1124",
"authorized_official_credential": "LICSW, LADC1"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.