Second Chance Ranch Counseling and Equine Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SECOND CHANCE RANCH COUNSELING AND EQUINE THERAPY, LLC

Practice address

5199 Hideaway LN
Bartlett, TN 38002-9791

Phone

(901) 410-1977

Fax

(901) 410-1977

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Karma Howard, LPC-MHSP

Title

Clinical Director

Phone

(901) 410-1977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1871252197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 HIDEAWAY LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380029791",
            "telephone_number": "901-410-1977",
            "fax_number": "901-410-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 HIDEAWAY LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380029791",
            "telephone_number": "901-410-1977",
            "fax_number": "901-410-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8765 Chaffee Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "380021547",
            "country_code": "US",
            "telephone_number": "901-410-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SECOND CHANCE RANCH COUNSELING AND EQUINE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "KARMA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "901-410-1977",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.