New Outlook..second Chance, Inc. is a Counselor Clinic in Durham, North Carolina. This organization is also known as sub part of New Outlook..second Chance, Inc.. It is located at 2604 Carver St, Suite C, Durham, NC and its contact number is 919-682-4771. The authorized person for New Outlook..second Chance, Inc. is Ms. Bethena M Jackson
who is Chief Executive Officer of the clinic and his/her contact number is 919-682-4771. The primary license number for New Outlook..second Chance, Inc. is MHL-032-506 (Addiction (Substance Use Disorder)) in North Carolina. New Outlook..second Chance, Inc. Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
New Outlook..second Chance, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
New Outlook..second Chance, Inc.
Specialization:
Counselor
Clinic Address:
2604 Carver St, Suite C, Durham, North Carolina, 27705-2796
Phone:
919-682-4771
Fax:
919-683-2641
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Bethena M Jackson
Position:
Chief Executive Officer
Contact Number:
919-682-4771
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for New Outlook..second Chance, Inc. clinic are as mentioned below.
NPI Number:
1518299791
Parent Organization:
New Outlook..second Chance, Inc.
NPI Enumeration Date:
12 Feb, 2010
NPI Last Update On:
29 Aug, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for New Outlook..second Chance, Inc. are as mentioned below.
Specialization
License Number
State
Status
Addiction (Substance Use Disorder)
MHL-032-506
North Carolina
Primary
Counselor
Secondary
Psychologist
Secondary
Social Worker
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8302362B
Medicaid
North Carolina
8302362Q
Medicaid
North Carolina
8302703B
Medicaid
North Carolina
8302703G
Medicaid
North Carolina
8302362G
Medicaid
North Carolina
8700391
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
New Outlook..second Chance, Inc. Po Box 802, Durham, North Carolina
Zip:
27702-0802
Phone Number:
919-682-4771
Fax Number:
919-683-2641
Patients can reach New Outlook..second Chance, Inc. at 2604 Carver St, Suite C, Durham, North Carolina or can call to book an appointment on 919-682-4771. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.