FRESH START BEHAVIORAL HEALTH LLC NPI 1457078347

NPI Information

NPI: 1457078347
Provider Name: FRESH START BEHAVIORAL HEALTH LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

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

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 10/21/2022.

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
1	251S00000X	Community/Behavioral Health				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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: 5/5/2024

NPI Synchronization or Removal

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