Second Chances TCM

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SECOND CHANCES TCM

Practice address

1706 E Semoran Blvd
Suite102
Apopka, FL 32703-5651

Phone

(407) 464-2111

Fax

(407) 464-2112

NPI assigned

Jun 16, 2012

Last updated

Jun 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shanqual Marshall-Gunn

Title

Ceo/President

Phone

(321) 460-3731

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339804800000",
    "number": "1225391105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E SEMORAN BLVD",
            "address_2": "SUITE102",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035651",
            "telephone_number": "407-464-2111",
            "fax_number": "407-464-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E SEMORAN BLVD",
            "address_2": "SUITE102",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035651",
            "telephone_number": "407-464-2111",
            "fax_number": "407-464-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCES TCM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-GUNN",
        "authorized_official_first_name": "SHANQUAL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "321-460-3731",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Apopka, FL
• Providers in Apopka, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; 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.