Organization
ANOTHER CHANCEE, INC.
Active
Other names
Another Chancee Case Management Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN MCCULLOUGH L.M.S.W., M.DIV. (CHIEF EXECUTIVE OFFICER)
(214) 377-8495
Entity
Organization
Contact information
Practice address
1140 EMPIRE CENTRAL DRIVE, SUITE 260, DALLAS, TX 75247
(214) 432-8296
(214) 203-0803
Mailing address
114 EMPIRE CENTRAL DRIVE SUITE 260, DALLAS, TX 75247
(214) 203-0803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
12479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311513101
—
TX
Enumeration date
07/17/2010
Last updated
11/08/2019
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