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2ND CHANCE BEHAVIORAL HEALTH SERVICES LLC
NPI 1053008870
Clinic/Center - Adult Mental Health in Glendale, AZ

Active since April 21, 2023
10620 N 43RD AVE STE 10, GLENDALE, AZ 85304(602) 860-0044(602) 848-3186 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About 2nd Chance Behavioral Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

2ND CHANCE BEHAVIORAL HEALTH SERVICES LLC (NPI 1053008870) is a healthcare organization registered as an adult mental health in Glendale, Arizona and active in the NPI registry since April 2023. The organization lists Domity Akoi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053008870
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business Name2ND CHANCE BEHAVIORAL HEALTH SERVICES LLC
Location Address10620 N 43RD AVE STE 10Glendale, AZ 85304-4150
Mailing Address10620 N 43rd Ave Ste 10Glendale, AZ 85304-4150 · (602) 860-0044 · Fax (602) 848-3186
Phone(602) 860-0044
Fax(602) 848-3186
Organization SubpartNo
Authorized OfficialDomity AkoiAdministrator · (602) 860-0044
Enumeration DateApril 21, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1053008870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
10620 N 43RD AVE STE 10, Glendale, AZ 85304
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 2nd Chance Behavioral Health Services LLC's NPI number?

The NPI number for 2nd Chance Behavioral Health Services LLC is 1053008870. It was assigned to this organization in the NPPES registry on April 21, 2023.

Where is 2nd Chance Behavioral Health Services LLC located?

2nd Chance Behavioral Health Services LLC is located at 10620 N 43rd Ave Ste 10, Glendale, AZ 85304. The listed phone number is (602) 860-0044.

What is 2nd Chance Behavioral Health Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for 2nd Chance Behavioral Health Services LLC was last updated on April 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.