Fresh Start Community Services, Llc

LBN: Fresh Start Community Services, Llc
Fresh Start Community Services, Llc is an health care organization with primary practice located at 152 Edward Owens Dr , Terry MS 39170-8921. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Fresh Start Community Services, Llc can be contacted via phone (601) 954-2421, or through Tate, Tonya C via phone (601) 954-2421.

Contact Information

Primary practice address
152 Edward Owens Dr Terry MS 39170-8921
Phone: (601) 954-2421
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tate, Tonya C MS
Phone: (601) 954-2421

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1417349150
LBN Legal business name Fresh Start Community Services, Llc
DBA Doing business as
Authorized official Tate, Tonya C MS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2015
Last updated Mar 3rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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