Fresh Start, Inc. in Lafayette - Clinic/center
Fresh Start, Inc. - NPI 1588610554
Fresh Start, Inc. is a Clinic/center in Lafayette, Louisiana. Fresh Start, Inc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Fresh Start, Inc. is 1588610554. The last update date is 2020-08-22.
Fresh Start, Inc.'s current location address is 100 Beauvais Ave, Lafayette, Louisiana. You can contact this provider via phone number 3378861617 and fax number 3378861588. The mailing address for Fresh Start, Inc. is 100 Beauvais Ave, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fresh Start, Inc. |
|---|---|
| Address | 100 Beauvais Ave, Lafayette, Louisiana |
| Phone Number | 3378861617 |
| Fax Number | 3378861588 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Williams Errond Kendall |
| Credentials | LPC |
| Telephone Number | 3378861617 |
NPI Number Detail
| NPI Number | 1588610554 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Beauvais Ave |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705072468 |
| Phone Number | 3378861617 |
| Fax Number | 3378861588 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | AD601 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1428396 | LA | -- |
Post Comment/ Review Below
What is the Fresh Start, Inc.'s unique identification number?
The Fresh Start, Inc. has been assigned the NPI (National Provider Identifier) Number 1588610554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Fresh Start, Inc.?
The Fresh Start, Inc. is physically situated at 100 Beauvais Ave, in the city of Lafayette, state of LA, with the postal code 705072468.
What is the Fresh Start, Inc.'s area of specialization and corresponding taxonomy classification?
The Fresh Start, Inc.'s specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Fresh Start, Inc. receive the assignment of its 1588610554 from the Centers for Medicare & Medicaid Services?
The Fresh Start, Inc. was issued its 1588610554 by the Centers for Medicare & Medicaid Services on 2006-05-25.
When was the information regarding Fresh Start, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fresh Start, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.