| Second Chance Counseling Services, Llc | |
|
19727 Executive Park Cir Germantown MD 20874-2642 | |
| (301) 972-1373 | |
| (301) 972-1584 |
| Full Name | Second Chance Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 19727 Executive Park Cir, Germantown, Maryland |
| Authorized Official Name and Position | Terese Nicole Hayes (PRESIDENT) |
| Authorized Official Contact | 3019721373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Counseling Services, Llc Po Box 882 Clarksburg MD 20871-0882 Ph: (301) 972-1373 | Second Chance Counseling Services, Llc 19727 Executive Park Cir Germantown MD 20874-2642 Ph: (301) 972-1373 |
| NPI Number | 1053750521 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 01/27/2026 |
| Certification Date | 01/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053750521 | NPI | - | NPPES |
| 408867100 | Medicaid | MD |
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