Start Fresh Foundation Inc

LBN: Start Fresh Foundation Inc
Start Fresh Foundation Inc is an health care organization with primary practice located at 135 N Moon Ave , Brandon FL 33510-4419. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management, Agencies / Early Intervention Provider Agency. Agencies / Case Management is the primary health care specialty. Start Fresh Foundation Inc can be contacted via phone (813) 489-4546, or through Merritt, Casandra via phone (813) 957-2239.

Contact Information

Primary practice address
135 N Moon Ave Brandon FL 33510-4419
Phone: (813) 489-4546
Fax: (813) 381-5140
Website:
Map and Directions
Authorized official contact:
Name: Merritt, Casandra CBHCMS
Phone: (813) 957-2239

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Agencies / Case Management 251B00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1609402437
LBN Legal business name Start Fresh Foundation Inc
DBA Doing business as
Authorized official Merritt, Casandra CBHCMS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2020
Last updated Feb 25th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609402437 NPPES
Florida Other CBHCMS100611 FLORIDA CERTIFICATION BOARD

Popular Providers