FRESH START BEHAVIORAL HEALTH LLC NPI 1063293082

NPI Information

  • NPI: 1063293082
  • Provider Name: FRESH START BEHAVIORAL HEALTH LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 601 W 1ST AVE
    SPOKANE, WA
    ZIP 99201
  • Phone: (509) 418-5216

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NPI Details

FRESH START BEHAVIORAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Spokane, WA. FRESH START BEHAVIORAL HEALTH LLC NPI is 1063293082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601 W 1ST AVE
SPOKANE, WA
ZIP 99201-825
Phone: (509) 418-5216

The provider's authorized official is Mohamed Bah .
The authorized official title is Owner and has the following contact phone number (713) 748-5086.

The enumeration date for this NPI number is 10/6/2023 and was last updated on 2/14/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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