Provider Demographics
NPI:1225316003
Name:ANOTHER CHANCE COUNSELING AGENCY, INC
Entity Type:Organization
Organization Name:ANOTHER CHANCE COUNSELING AGENCY, INC
Other - Org Name:ANOTHER CHANCE COUNSELING AGENCY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-732-0573
Mailing Address - Street 1:8306 NE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-7155
Mailing Address - Country:US
Mailing Address - Phone:405-732-0573
Mailing Address - Fax:405-455-3989
Practice Address - Street 1:8306 NE 10TH ST
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-7155
Practice Address - Country:US
Practice Address - Phone:405-732-0573
Practice Address - Fax:405-455-3989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK152OtherOKLAHOMA DEPT. OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES