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Organization
SECOND CHANCE COMMUNITY HEALTH
Active
Organization
SECOND CHANCE COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS R CISNEROS LCSW (LCSW)
(702) 482-8580
Entity
Organization
Contact information
Practice address
732 S 6TH ST STE R, LAS VEGAS, NV 89101-6948
(702) 482-8582
Mailing address
6396 MCLEOD DR STE 10, LAS VEGAS, NV 89120-4429
(702) 518-6444
(702) 374-0233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
01/14/2026
Last updated
05/20/2026
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