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SECOND CHANCE SUPPORT SERVICES LLC
NPI 1245795269
Community/Behavioral Health in Martinsville, VA

Active since February 04, 2019
22 E CHURCH ST STE 319, MARTINSVILLE, VA 24112(276) 403-5084(276) 403-4207 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Second Chance Support Services Llc NPPES

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

SECOND CHANCE SUPPORT SERVICES LLC (NPI 1245795269) is a healthcare organization registered as a community/behavioral health in Martinsville, Virginia and active in the NPI registry since February 2019. The organization lists Kelly Robinson Eanes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1245795269
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSECOND CHANCE SUPPORT SERVICES LLC
Location Address22 E CHURCH ST STE 319Martinsville, VA 24112-6208
Mailing Address22 E Church St Ste 318Martinsville, VA 24112-6208 · (276) 403-5084 · Fax (276) 403-4207
Phone(276) 403-5084
Fax(276) 403-4207
Organization SubpartNo
Authorized OfficialKelly Robinson EanesExecutive Director · (434) 203-7538
Enumeration DateFebruary 4, 2019
✔ NPI 1245795269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
22 E CHURCH ST STE 319, Martinsville, VA 24112
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Other Identifiers 1

OtherS5590577VA · State Corporation Commission

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 Second Chance Support Services LLC's NPI number?

The NPI number for Second Chance Support Services LLC is 1245795269. It was assigned to this organization in the NPPES registry on February 4, 2019.

Where is Second Chance Support Services LLC located?

Second Chance Support Services LLC is located at 22 E Church St Ste 319, Martinsville, VA 24112. The listed phone number is (276) 403-5084.

What is Second Chance Support Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Second Chance Support Services LLC was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.