FRESH START COMMUNITY SERVICES LLC NPI 1386474997

NPI Information

  • NPI: 1386474997
  • Provider Name: FRESH START COMMUNITY SERVICES LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 2470 PRUDEN BLVD
    SUFFOLK, VA
    ZIP 23434
  • Phone: (757) 934-3399

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NPI Details

FRESH START COMMUNITY SERVICES LLC is a mental health (including community mental health center) clinic center in Suffolk, VA. FRESH START COMMUNITY SERVICES LLC NPI is 1386474997. The provider is registered as an organization entity type.

The provider's business location address is:

2470 PRUDEN BLVD
SUFFOLK, VA
ZIP 23434-206
Phone: (757) 934-3399
Fax: (757) 934-3389

The provider's authorized official is Vesha Jones .
The authorized official title is Ceo/president and has the following contact phone number (757) 202-0295.

The enumeration date for this NPI number is 8/7/2024 and was last updated on 8/13/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 3/30/2025

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