Organization
SECOND CHANCES COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KANANDI HALL (CHIEF EXECUTIVE OFFICER)
(804) 654-0375
Entity
Organization
Contact information
Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(804) 654-0375
Mailing address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(804) 654-0375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/30/2023
Last updated
09/02/2025
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