Second Chance Health & Wellness LLC
NPI 1194536425 · Community Health Clinic/Center · Jackson, MS
Second Chance Health & Wellness LLC is a Community Health Clinic/Center organization in Jackson, MS (NPI 1194536425).
Provider details
- NPI number
- 1194536425
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devin Foster, Cec/Founder(601) 842-4718
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Student Health Clinic/Center261QS1000X
Ambulatory Health Care Facilities
- Local Education Agency (LEA)251300000X
Agencies
- Community/Behavioral Health Agency251S00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2025-01-16
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Frequently asked questions
- What is Second Chance Health & Wellness LLC's NPI number?
- Second Chance Health & Wellness LLC's National Provider Identifier (NPI) is 1194536425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Chance Health & Wellness LLC?
- Second Chance Health & Wellness LLC is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Second Chance Health & Wellness LLC located?
- Second Chance Health & Wellness LLC's practice location on file with NPPES is 11 Northtown Dr Ste 225, Jackson, MS 39211-3698.
- What is Second Chance Health & Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Second Chance Health & Wellness LLC is (601) 842-4718.
- Who is the authorized official for Second Chance Health & Wellness LLC?
- The authorized official listed on Second Chance Health & Wellness LLC's NPPES record is Devin Foster, Cec/Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Chance Health & Wellness LLC's NPI active?
- Yes — Second Chance Health & Wellness LLC's NPI (1194536425) is active in the NPPES registry as of the last update on 2025-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.