Fresh Start Psychological Services Llc

LBN: Fresh Start Psychological Services Llc
Fresh Start Psychological Services Llc is an health care organization with primary practice located at 18 Railroad St Ste 1 , Andover MA 01810-3570. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty. Fresh Start Psychological Services Llc can be contacted via phone (978) 222-9818, or through Reilly, Diane Green via phone (978) 222-9818.

Contact Information

Primary practice address
18 Railroad St Ste 1 Andover MA 01810-3570
Phone: (978) 222-9818
Fax: (978) 824-9475
Website:
Map and Directions
Authorized official contact:
Name: Reilly, Diane Green PHD
Phone: (978) 222-9818

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 7734 Massachusetts

Profile Details

NPI number 1629508171
LBN Legal business name Fresh Start Psychological Services Llc
DBA Doing business as
Authorized official Reilly, Diane Green PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2017
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629508171 NPPES
Massachusetts Other 1821363615 NPI

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