2Nd Chance Mental Health Center, Llc

LBN: 2Nd Chance Mental Health Center, Llc
2Nd Chance Mental Health Center, Llc is an health care organization with primary practice located at 1541 Se Port St Lucie Blvd Suite F, Port St Lucie FL 34952-5456. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. 2Nd Chance Mental Health Center, Llc can be contacted via phone (772) 335-0166, or through Brown, Johnny via phone (772) 335-0166.

Contact Information

Primary practice address
1541 Se Port St Lucie Blvd Suite F Port St Lucie FL 34952-5456
Phone: (772) 335-0166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Johnny
Phone: (772) 335-0166

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW9510 Florida

Profile Details

NPI number 1942518246
LBN Legal business name 2Nd Chance Mental Health Center, Llc
DBA Doing business as
Authorized official Brown, Johnny
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2010
Last updated May 6th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942518246 NPPES
Florida MEDICAID 003355500

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