Second Chances Outpatient Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SECOND CHANCES OUTPATIENT SERVICES

Practice address

21 E Stanley St
Ste 103
Crossville, TN 38555-3200

Phone

(931) 267-4809

NPI assigned

Mar 1, 2009

Last updated

Mar 2, 2009By 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

Miss Tiffany Renee Cox, BSNPI 1811137896

Title

Program Director

Phone

(931) 267-4809

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Renee Cox, B.S.

  • Case Manager/Care Coordinator
  • Crossville, TN
  • NPI 1811137896
  NPD (past) Authorized official

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

{
    "created_epoch": "1235865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1891935045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E STANLEY ST",
            "address_2": "103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385553200",
            "telephone_number": "931-267-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E STANLEY ST",
            "address_2": "STE 103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385553200",
            "telephone_number": "931-267-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCES OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-01",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "931-267-4809",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Sawabini, DO
• Spencer Scarbrough
• Shelley L Schumacher, CNM
• Kathryn E Scovill, PT
• Kelsey Scoville
• Peter William Seeley, PT
• William David Selecman, D.D.S.
• Jan Boston Sellers, PHD, LPC,
• Abigail Sells, FNP-C
• Cameron Sells

• Substance Abuse Rehabilitation Facility in Crossville, TN
• Providers in Crossville, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.