Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Second Chance Phoenix Ministry, Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1487002317

Second Chance Phoenix Ministry, Inc is a Mental Illness Community Based Residential Treatment Facility in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3218 Eagle Watch Dr
Kissimmee, FL 34746-3138
Phone: (407) 901-4000
Fax: (407) 930-4830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence CARF ACCREDITED (FL)

Record details

NPI number1487002317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickki-Ann Samuel — Medical Director · (407) 901-4000
Other names Heart Transformation
NPI enumeratedJune 1, 2016
Last updated in NPPESJune 2, 2016
Mailing address3218 Eagle Watch Dr, Kissimmee, FL 34746-3138

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