Organization Active NPI

Second Chance Agency LLC

  • Community/Behavioral Health Agency
  • Concord, NC
National Provider Identifier
1962335711
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SECOND CHANCE AGENCY LLC
Practice address
420 Church St N Ste B
Concord, NC 28025-4548
Phone
(704) 649-6297
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Danielle Molique Spencer
Title
C Eo
Phone
(704) 649-6297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

420 Church St N Ste B
Concord, NC 28025-4548

Mailing address

420 Church St N Ste B
Concord, NC 28025-4548
Phone (704) 649-6297

National Provider Directory

National Provider Directory

Locations

420 Church St N
Ste B
Concord, NC 28025
Phone (704) 649-6297

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1962335711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHURCH ST N STE B",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254548",
            "telephone_number": "704-649-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHURCH ST N STE B",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254548",
            "telephone_number": "704-649-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MOLIQUE",
        "authorized_official_title_or_position": "C EO",
        "authorized_official_telephone_number": "704-649-6297"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.