Second Chance Healthcare
NPI #1548099765 in Greenwood, Mississippi
Provider Information
- NPI Number
- 1548099765
- Entity Type
- Organization
- Organization Name
- Second Chance Healthcare
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 27, 2024
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 405 RIVER RD
- City
- Greenwood
- State
- Mississippi
- ZIP Code
- 38930-4212
- Phone
- (662) 304-8805
Authorized Official
- Name
- CHAKITA LAVETT BEVERLY, AGPCNP-C, PMHNP-BC
- Title
- NURSE PRACTITIONER/OWNER
- Phone
- (662) 374-3209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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