Second Chance Outreach Learning Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

SECOND CHANCE OUTREACH LEARNING CENTER

Practice address

4807 N State St Ste 407
Jackson, MS 39206-4826

Phone

(601) 842-4718

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Devin Foster

Title

Ceo

Phone

(662) 739-8564

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1861024747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAKFORD CT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113050",
            "telephone_number": "601-842-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 N STATE ST STE 407",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064826",
            "telephone_number": "601-842-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE OUTREACH LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-739-8564"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Seawood
• Jocelyn Patrice Seawood, FNP-C
• Ashley Heath Seawright, ACNP
• Deborah M Sebrell, M.A., CCC/SLP
• Second Chance Health & Wellness LLC
• Felicia Sedwick
• David Ronald Segrest, M.D.
• Tanja Seifen, PHD
• Select Specialty Hospital - Jackson Inc
• Select Specialty Hospital Belhaven LLC

• Public Health or Welfare Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Public Health or Welfare Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.