Second Opportunity LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SECOND OPPORTUNITY LLC

Practice address

3769 The Great Dr
Atlanta, GA 30349-8726

Phone

(404) 538-3551

NPI assigned

Aug 25, 2019

Organization subpart

No

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

Authorized official

Name

Michael Nalls

Title

Owner/Director

Phone

(404) 538-3551

Specialties & licenses 4

Addresses

Other names 1

• Second Opportunity LLC Doing business as

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1689221582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 THE GREAT DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498726",
            "telephone_number": "404-538-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 THE GREAT DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498726",
            "telephone_number": "404-538-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND OPPORTUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-25",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "NALLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "404-538-3551"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Opportunity LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.