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NEW OUTLOOK..SECOND CHANCE, INC.
NPI 1518299791
Counselor - Addiction (Substance Use Disorder) in Durham, NC

Active since February 12, 2010
2604 CARVER ST, SUITE C, DURHAM, NC 27705(919) 682-4771(919) 683-2641 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About New Outlook..second Chance, Inc. NPPES

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

NEW OUTLOOK..SECOND CHANCE, INC. (NPI 1518299791) is a healthcare organization registered as an addiction (substance use disorder) in Durham, North Carolina and active in the NPI registry since February 2010. The organization lists Bethena M Jackson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1518299791
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameNEW OUTLOOK..SECOND CHANCE, INC.
Location Address2604 CARVER ST, SUITE CDurham, NC 27705-2796
Mailing AddressPo Box 802Durham, NC 27702-0802 · (919) 682-4771 · Fax (919) 683-2641
Phone(919) 682-4771
Fax(919) 683-2641
Organization SubpartYes
Authorized OfficialBethena M JacksonChief Executive Officer · (919) 682-4771
Enumeration DateFebruary 12, 2010
Last NPPES UpdateAugust 29, 2012
✔ NPI 1518299791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · MHL-032-506
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
2604 CARVER ST, Durham, NC 27705
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Other Identifiers 6

Medicaid8302362GNC
Medicaid8302703BNC
Medicaid8302362BNC
Medicaid8302703GNC
Medicaid8302362QNC
Medicaid8700391NC

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW OUTLOOK SECOND CHANCE, INC.
Case Management
2604 CARVER ST, SUITE C
DURHAM, NC 27705
Durham County (919) 682-4771
NEW OPPORTUNITIES SECOND CHANCE, INC.
Community/Behavioral Health
2604 CARVER ST, SUITE C
DURHAM, NC 27705
Durham County (919) 682-4771
MS. BETHENA M JACKSON CSAC, LCAS-A
Counselor (Addiction (Substance Use Disorder))
2604 CARVER ST, SUITE C
DURHAM, NC 27705
Durham County (919) 682-4771

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 New Outlook..Second Chance, Inc.'s NPI number?

The NPI number for New Outlook..Second Chance, Inc. is 1518299791. It was assigned to this organization in the NPPES registry on February 12, 2010.

Where is New Outlook..Second Chance, Inc. located?

New Outlook..Second Chance, Inc. is located at 2604 Carver St Suite C, Durham, NC 27705. The listed phone number is (919) 682-4771.

What is New Outlook..Second Chance, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for New Outlook..Second Chance, Inc. was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.