FRESH START COMMUNITY DEVELOPERS LLC NPI 1114273315

NPI Information

NPI: 1114273315
Provider Name: FRESH START COMMUNITY DEVELOPERS, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
46 SYCAMORE STA
DECATUR, GA
ZIP 30030
Phone: (404) 245-9265
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FRESH START COMMUNITY DEVELOPERS, LLC is an addiction (substance use disorder) counselor in Decatur, GA. FRESH START COMMUNITY DEVELOPERS, LLC NPI is 1114273315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

46 SYCAMORE STA
DECATUR, GA
ZIP 30030-757
Phone: (404) 245-9265
Fax: (404) 370-1202

The provider's authorized official is Kirk Michael Williams .
The authorized official title is Certified Addiction Counselor and has the following contact phone number (404) 245-9265.

The enumeration date for this NPI number is 7/25/2012 and was last updated on 7/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	236	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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