FRESH START COMMUNITY SERVICES LLC NPI 1417349150

NPI Information

  • NPI: 1417349150
  • Provider Name: FRESH START COMMUNITY SERVICES, LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 152 EDWARD OWENS DR
    TERRY, MS
    ZIP 39170
  • Phone: (601) 954-2421

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NPI Details

FRESH START COMMUNITY SERVICES, LLC is a counselor in Terry, MS. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FRESH START COMMUNITY SERVICES, LLC NPI is 1417349150. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

152 EDWARD OWENS DR
TERRY, MS
ZIP 39170-921
Phone: (601) 954-2421

The provider's authorized official is Tonya C Tate .
The authorized official title is Ceo/owner and has the following contact phone number (601) 954-2421.

The enumeration date for this NPI number is 3/3/2015 and was last updated on 3/3/2015.

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
1172V00000XCommunity Health WorkerNo
2251S00000XCommunity/Behavioral HealthNo
3101Y00000XCounselorYes

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: 11/21/2025

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