# 2ND CHANCE COUNSELING SERVICE LLC

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

## Provider details

- **NPI number:** 1144745332
- **Authorized official:** MEGAN A SCHIMPF-PETERSON CAC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (570) 691-6347

## Contact information

- **Practice address:** 204 RAINBOW DR, LIVINGSTON, TX 77399-2004
- **Practice address phone:** (570) 691-6347
- **Practice address fax:** (570) 691-6347
- **Mailing address:** 1700 SULLIVAN TRL \# 126, EASTON, PA 18040-8333
- **Mailing address phone:** (570) 212-9222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2017
- **Last updated:** 08/08/2017
