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General NPI Number Information
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NPI Number | 1649092396
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Entity Type | Organization
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Legal Business Name | SECOND CHANCES TO SUCCESS LLC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 15302 WILLVIEW RD
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City | MISSOURI CITY
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State | TX
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Zip | 77489-2403
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Country | US
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Telephone | 832-878-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 2526 BUSINESS CENTER DR APT 1225
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City | PEARLAND
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State | TX
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Zip | 77584-2438
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Country | US
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Telephone | 832-878-2583
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/OWNER
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Name | YASHICA RACHELLE ALEXANDER
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Credential |
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Telephone | 832-878-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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