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Organization
A SECOND CHANCE PSYCHIATRIC SERVICES LLC
Active
Organization
A SECOND CHANCE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA C MATTHEWS (OWNER)
(804) 822-0994
Entity
Organization
Contact information
Practice address
8401 MAYLAND DR STE S, HENRICO, VA 23294-4648
(804) 822-0994
Mailing address
595 SOUTHLAKE BLVD, NORTH CHESTERFIELD, VA 23236-8002
(804) 822-0994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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