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CHARLIE'S SECOND CHANCE COUNSELING, LLC
NPI 1780195206
Counselor - Professional in Gainesville, GA

Active since October 24, 2017
842 OAK ST, GAINESVILLE, GA 30501(470) 290-8684 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2022, Oct 24, 2017 (2 updates tracked since 2017).

About Charlie's Second Chance Counseling, Llc NPPES

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

CHARLIE'S SECOND CHANCE COUNSELING, LLC (NPI 1780195206) is a healthcare organization registered as a professional in Gainesville, Georgia and active in the NPI registry since October 2017. The organization lists Myra Muckle, Owner, as its authorized official.

NPPES Registry Identity

NPI1780195206
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCHARLIE'S SECOND CHANCE COUNSELING, LLC
Location Address842 OAK STGainesville, GA 30501-3570
Mailing Address842 Oak StGainesville, GA 30501-3570 · (470) 290-8684
Phone(470) 290-8684
Organization SubpartNo
Authorized OfficialMyra MuckleOwner · (470) 290-8684
Enumeration DateOctober 24, 2017
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1780195206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
842 OAK ST, Gainesville, GA 30501
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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 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 Charlie's Second Chance Counseling, LLC's NPI number?

The NPI number for Charlie's Second Chance Counseling, LLC is 1780195206. It was assigned to this organization in the NPPES registry on October 24, 2017.

Where is Charlie's Second Chance Counseling, LLC located?

Charlie's Second Chance Counseling, LLC is located at 842 Oak St, Gainesville, GA 30501. The listed phone number is (470) 290-8684.

What is Charlie's Second Chance Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Charlie's Second Chance Counseling, LLC was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.