2ND Chance Mental Health Center, LLC
Organization Active NPI Community/Behavioral Health Agency · Port Saint Lucie, FL
NPI 1447554019 · NPPES record last updated Dec 22, 2010
Key facts
- NPI
- 1447554019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 1956AD422201 (FL)
- Legal business name
- 2ND CHANCE MENTAL HEALTH CENTER, LLC
- Practice address
- 1250 SE Port St Lucie Blvd Ste C
Port Saint Lucie, FL 34952-5385 - Phone
- (772) 249-0880
- Fax
- (772) 249-0881
- NPI assigned
- Dec 22, 2010
- Organization subpart
- No
Authorized official
- Name
- Jean M Larsen, MSW
- Title
- President
- Phone
- (772) 249-0880
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 2ND Chance Mental Health Center LLC
Locations
1250 SE Port St Lucie Blvd
Ste C
Port Saint Lucie, FL 34952
Phone (772) 249-0880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1956AD422201 | FL | Yes |
Addresses
Primary practice location
1250 SE Port St Lucie Blvd Ste C
Port Saint Lucie, FL 34952-5385
Mailing address
1250 SE Port St Lucie Blvd Ste C
Port Saint Lucie, FL 34952-5385
Phone (772) 249-0880
Other providers in Port Saint Lucie, FL
- 1St Light of Hope
- 1St Nurse Registry LLC
- 2 Welcoming Arms LLC
- A Hollyhome Alf, Inc
- A Touch of Class #1 Adult Care
- A Willing Noble Services, LLC
- A&a Residential Group Services LLC
- Aaron M Shevlin DPM PA
All providers in Port Saint Lucie, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.