# SECOND CHANCE COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053750521
- **Authorized official:** DR. TERESE NICOLE HAYES LCSW-C (PRESIDENT)
- **Authorized official phone:** (301) 972-1373

## Contact information

- **Practice address:** 19727 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
- **Practice address phone:** (301) 972-1373
- **Practice address fax:** (301) 972-1584
- **Mailing address:** PO BOX 882, CLARKSBURG, MD 20871-0882
- **Mailing address phone:** (301) 972-1373
- **Mailing address fax:** (301) 972-1584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 905516 | MD | Yes |
| 101YP2500X | Professional Counselor | LC4015 | MD | — |
| 101YP2500X | Professional Counselor | LC4709 | MD | — |
| 101YP2500X | Professional Counselor | LC5475 | MD | — |
| 1041C0700X | Clinical Social Worker | 12637 | MD | — |
| 133V00000X | Registered Dietitian | DX3109 | MD | — |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 01/27/2026