FRESH START, INC. (NPI# 1588610554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588610554 |
| Entity Type | Organization |
| Organization Name | FRESH START, INC. |
| Practice Address |
100 Beauvais Ave Suite A-1 Lafayette LA 70507-2468 |
| Practice Telephone | 3378861617 |
| Practice Fax Number | 3378861588 |
| Mailing Telephone | 3378861617 |
| Mailing Fax Number | 3378861588 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENDALL ERROND WILLIAMS (PRESIDENT/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3378861617 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AD601 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1428396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568511046 | Fresh Start, Inc. | Day Training, Developmentally Disabled Services | 8551 W Sunrise Blvd, Suite #200, Plantation, FL 33322-4007 | 2007-01-10 |
| 1477623981 | Fresh Start, Inc. | Substance Abuse Rehabilitation Facility | 4807 Cedar Ave, Cleveland, OH 44103-4437 | 2006-11-09 |
| 1235175480 | Fresh Start, Inc. | Substance Abuse Rehabilitation Facility | 2415 E 55th St, Cleveland, OH 44104-1501 | 2006-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | FRESH START, INC. | 1010 Farmington Ave, P O Box 271812, West Hartford, CT 06117 |
| Indiana Business Entities | FRESH START, INC. | 113 N Industrial Park Rd, Washington, IN 47501 |
| Street Address |
100 BEAUVAIS AVE SUITE A-1 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174028344 | Lice Away LLC | Technician, Other | 100 Beauvais Ave, Lafayette, LA 70507-2468 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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., radiology, poor, and public health). |
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| 1770118481 | Lazco | Clinic/Center | 1120 W South Boulder Rd Ste 102, Lafayette, CO 80026-8952 | 2020-03-03 |
| 1750941902 | Unity Healthcare LLC | Clinic/Center | 1345 Unity Pl Ste 220, Lafayette, IN 47905-5761 | 2019-06-19 |
| 1942659354 | Michele Mclaverty | Clinic/Center | 379 Castello Rd, Lafayette, CA 94549-5606 | 2016-06-07 |
| 1215385455 | Truth Soldier LLC | Clinic/Center | 1200 W South Boulder Rd Ste 103, Lafayette, CO 80026-2833 | 2016-05-27 |
| 1427425883 | Anu Gupta Desai, M.d., LLC | Clinic/Center | 155 Hospital Dr., Ste 300, Lafayette, LA 70503 | 2015-09-01 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1982045035 | Lafayette Family Healthcare Inc | Clinic/Center | 2008 Eraste Landry Rd, Suite B, Lafayette, LA 70506-1913 | 2013-07-17 |
| 1467710608 | Pediakare De Lousiana | Clinic/Center | 900 Walker Rd, Lafayette, LA 70506-1371 | 2012-04-25 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.