NPI 1942518246 · live from the CMS NPI Registry
2nd Chance Mental Health Center, LLC
Social Worker, Clinical in Port St Lucie, FL. National Provider Identifier 1942518246, active.
NPI record
| NPI | 1942518246 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1541 Se Port St Lucie Blvd, Suite F, Port St Lucie, FL 34952 |
| Practice phone | 772-335-0166 |
| Enumerated | September 21, 2010 |
| Last updated | May 6, 2013 |
| Authorized official | Johnny Brown, Ceo/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | SW9510 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.