Organization
2ND CHANCE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
2ND CHANCE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMITY AKOI CEO (ADMINISTRATOR)
(602) 860-0044
Entity
Organization
Contact information
Practice address
10620 N 43RD AVE STE 10, GLENDALE, AZ 85304-4150
(602) 860-0044
(602) 848-3186
Mailing address
10620 N 43RD AVE STE 10, GLENDALE, AZ 85304-4150
(602) 860-0044
(602) 848-3186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up