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

Second Chance Re-Entry Initiative Program

Organization Mental Health Counselor · NPI 1104521863

Second Chance Re-Entry Initiative Program is a Mental Health Counselor in Hartford, Connecticut. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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Practice location Address checks out

157 Charter Oak Ave
Hartford, CT 06106-1913
Phone: (860) 400-2488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1104521863
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSecond Chance Re-Entry Initiative Program
Authorized official Edward Andrews — Ceo/President · (860) 879-1335
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateMarch 30, 2023
Mailing address157 Charter Oak Ave, Hartford, CT 06106-1913

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