FRESH START BEHAVIORAL HEALTH LLC NPI 1457078347

NPI Information

  • NPI: 1457078347
  • Provider Name: FRESH START BEHAVIORAL HEALTH LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 5422 W THUNDERBIRD RD
    GLENDALE, AZ
    ZIP 85306
  • Phone: (623) 216-5759

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NPI Details

FRESH START BEHAVIORAL HEALTH LLC is an addiction (substance use disorder) counselor in Glendale, AZ. FRESH START BEHAVIORAL HEALTH LLC NPI is 1457078347. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5422 W THUNDERBIRD RD
GLENDALE, AZ
ZIP 85306-700
Phone: (623) 216-5759

The provider's authorized official is Paul Bangura .
The authorized official title is Coe/adminstration and has the following contact phone number (623) 216-5759.

The enumeration date for this NPI number is 10/21/2022 and was last updated on 7/2/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2251S00000XCommunity/Behavioral HealthNo

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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