OrganizationActive
Second Chances Peer Support LLC
NPI 1073458220 · Peer Specialist · Charlotte, NC
Second Chances Peer Support LLC is a Peer Specialist organization in Charlotte, NC (NPI 1073458220).
Provider details
- NPI number
- 1073458220
- Entity type
- Organization
- Primary specialty
- Peer SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ebony Keith, Cfo(704) 299-2825
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3226 Lilac Grove Dr
Charlotte, NC 28269-0652
Phone: (704) 299-2825
Fax: (704) 299-2825
Approximate (ZIP-level) locationGet directions
Mailing address
3226 Lilac Grove Dr
Charlotte, NC 28269-0652
Registry dates
- Enumerated
- 2026-04-22
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Frequently asked questions
- What is Second Chances Peer Support LLC's NPI number?
- Second Chances Peer Support LLC's National Provider Identifier (NPI) is 1073458220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Chances Peer Support LLC?
- Second Chances Peer Support LLC is classified in the NPPES registry as Peer Specialist (Other Service Providers).
- Where is Second Chances Peer Support LLC located?
- Second Chances Peer Support LLC's practice location on file with NPPES is 3226 Lilac Grove Dr, Charlotte, NC 28269-0652.
- What is Second Chances Peer Support LLC's phone number?
- The practice phone number listed in the NPPES registry for Second Chances Peer Support LLC is (704) 299-2825.
- Who is the authorized official for Second Chances Peer Support LLC?
- The authorized official listed on Second Chances Peer Support LLC's NPPES record is Ebony Keith, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Chances Peer Support LLC's NPI active?
- Yes — Second Chances Peer Support LLC's NPI (1073458220) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.