Organization
MIRACLES OF A SECOND CHANCE INC
Active
Organization
MIRACLES OF A SECOND CHANCE INC
Active
Other names
MIRACLES OF A SECOND CHANCE INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA HICKMAN (CEO/ADMINISTRATOR)
(520) 266-8906
Entity
Organization
Contact information
Practice address
507 19TH TER, BISBEE, AZ 85603-1705
(520) 255-2158
Mailing address
PO BOX 1002, BISBEE, AZ 85603-2002
(520) 266-8906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
106S00000X
Behavior Technician
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207QA0505X
Adult Medicine Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518503945
—
AZ
05
—
1962572008
—
AZ
Enumeration date
01/31/2024
Last updated
07/11/2026
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