Healthcare Provider Details

I. General information

NPI: 1477329134
Provider Name (Legal Business Name): ANOTHER CHANCE SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 12/04/2023
Certification Date: 12/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3126 MILTON RD STE 232
CHARLOTTE NC
28215-3782
US

IV. Provider business mailing address

301 MCCULLOUGH DR STE 400
CHARLOTTE NC
28262-1336
US

V. Phone/Fax

Practice location:
  • Phone: 980-677-1997
  • Fax:
Mailing address:
  • Phone: 980-677-1997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA M. MCCORMICK
Title or Position: OWNER
Credential: MS, LCMHC
Phone: 413-219-5905