Second Chance Or More Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC007084 Issued in GA

Legal business name

SECOND CHANCE OR MORE COUNSELING SERVICES

Practice address

110 Evans Mill Dr
Suite 401
Dallas, GA 30157-1622

Phone

(407) 462-5483

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By 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

Dr. Nina A. White, PHD, LPC,LMHC,MFT

Title

Director/Owner

Phone

(407) 462-5483

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1851836597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301411018",
            "telephone_number": "407-462-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR",
            "address_2": "SUITE 401",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571622",
            "telephone_number": "407-462-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE OR MORE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "407-462-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC,LMHC,MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC007084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313130",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Dallas, GA
• Providers in Dallas, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.