Healthcare Provider Details

I. General information

NPI: 1497633804
Provider Name (Legal Business Name): BELIEVER IN SECOND CHANGE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 INDIAN CREEK DR APT TSC
MIAMI BEACH FL
33141-5709
US

IV. Provider business mailing address

6770 INDIAN CREEK DR APT TSC
MIAMI BEACH FL
33141-5709
US

V. Phone/Fax

Practice location:
  • Phone: 786-656-1866
  • Fax:
Mailing address:
  • Phone: 786-656-1866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YESSIRA USECHE
Title or Position: CEO
Credential: JD,MSW,RCSWI
Phone: 786-656-1866