Second Chance Counseling Services, Llc - Mental Health Clinic in Germantown, MD

Second Chance Counseling Services, Llc is a mental health clinic (Counselor - Addiction (substance Use Disorder)) in Germantown, Maryland. The current practice location for Second Chance Counseling Services, Llc is 13241 Executive Park Ter, Germantown, Maryland. For appointments, you can reach them via phone at (301) 972-1373. The mailing address for Second Chance Counseling Services, Llc is Po Box 882, Clarksburg, Maryland and phone number is (301) 972-1373.

Second Chance Counseling Services, Llc is licensed to practice in Maryland (license number 905516) and its NPI number is 1053750521. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (301) 972-1373.

Contact Information

Second Chance Counseling Services, Llc
13241 Executive Park Ter
Germantown
MD 20874-2648
(301) 972-1373
(301) 972-1584

Mental Health Clinic Profile

Full NameSecond Chance Counseling Services, Llc
SpecialityCounselor - Addiction (substance Use Disorder)
Location13241 Executive Park Ter, Germantown, Maryland
Authorized Official Name and PositionTerese Hayes (OWNER)
Authorized Official Contact3019721373
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Second Chance Counseling Services, Llc
Po Box 882
Clarksburg
MD 20871-0882

Ph: (301) 972-1373
Second Chance Counseling Services, Llc
13241 Executive Park Ter
Germantown
MD 20874-2648

Ph: (301) 972-1373

NPI Details:

NPI Number1053750521
Provider Enumeration Date06/18/2013
Last Update Date03/27/2015

Medical Identifiers

Medical identifiers for Second Chance Counseling Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053750521NPI-NPPES
408867100MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 905516 (Maryland)Primary
101YP2500XCounselor - Professional LC4709 (Maryland)Secondary
101YP2500XCounselor - Professional LC4015 (Maryland)Secondary
101YP2500XCounselor - Professional LC5475 (Maryland)Secondary
1041C0700XSocial Worker - Clinical 12637 (Maryland)Secondary
133V00000XDietitian, Registered DX3109 (Maryland)Secondary

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Medicare: Not Enrolled in Medicare
Practice Location: 13241 Executive Park Ter, Germantown, MD 20874
Phone: 301-972-1373    Fax: 301-972-1584

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