# SECOND BEGINNINGS SUPPORT SERVICES, LLC

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

## Provider details

- **NPI number:** 1558668467
- **Authorized official:** YVONNE DUNCAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (904) 438-2577

## Contact information

- **Practice address:** 6712 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8730
- **Practice address phone:** (904) 438-2558
- **Practice address fax:** (904) 438-2578
- **Mailing address:** 6712 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8730
- **Mailing address phone:** (904) 438-2558
- **Mailing address fax:** (904) 438-2578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | FL | Yes |

## Other

- **Enumeration date:** 02/12/2011
- **Last updated:** 03/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003016600 | — | FL |
| 05 | — | 142632096 | — | FL |
| 05 | — | 142632098 | — | FL |