A FRESH START LLC NPI 1033685961

NPI Information

  • NPI: 1033685961
  • Provider Name: A FRESH START LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 30 HAZEL TER STE K
    WOODBRIDGE, CT
    ZIP 06525
  • Phone: (203) 572-1236

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NPI Details

A FRESH START LLC is a professional counselor in Woodbridge, CT. A FRESH START LLC NPI is 1033685961. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 HAZEL TER STE K
WOODBRIDGE, CT
ZIP 06525-240
Phone: (203) 572-1236

The provider's authorized official is Robert Moore .
The authorized official title is Owner and has the following contact phone number (203) 645-3071.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 10/18/2018.

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
1101YM0800XCounselorMental HealthNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4101YP2500XCounselorProfessionalYes

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: 3/30/2025

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