Organization
2ND CHANCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORIN CAMPBELL LCSW (OWNER/CEO)
(860) 386-8024
Entity
Organization
Contact information
Practice address
30 MAPLE AVE STE B-2, WINDSOR, CT 06095-2922
(860) 386-8024
(800) 989-4601
Mailing address
30 MAPLE AVE STE B-2, WINDSOR, CT 06095-2922
(860) 386-8024
(800) 989-4601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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