FRESH START THERAPEUTIC SERVICES LLC (NPI# 1649716432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649716432 |
| Entity Type | Organization |
| Organization Name | FRESH START THERAPEUTIC SERVICES LLC |
| Practice Address |
5222 Fm 1960 Rd W Ste 175 Houston TX 77069 |
| Mailing Address |
5206 Fm 1960 Rd W Ste 105 Houston TX 77069-4405 |
| Practice Telephone | 8327058681 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | TEAH PEARSON (ADMINISTRATOR) |
| Authorized Official Telephone | 8327058681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FRESH START THERAPEUTIC SERVICES LLC | 5222 Fm 1960 Rd W Ste 175, Houston, TX 77069-4429 |
| Street Address |
5222 FM 1960 RD W STE 175 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080659 | Brittanny Lea Gormer | Behavior Technician | 4606 Farm To Market 1960 Rd W Suite 419, Houston, TX 77069 | 2019-02-21 |
| 1417452889 | Kenyatta Robinson | Nurse Practitioner | 5603 Farm To Market 1960 Rd W, Houston, TX 77069 | 2018-03-28 |
| 1962921155 | Chew Transportation | Non-emergency Medical Transport (VAN) | 13313 Cutten Rd., Apt. 2203, Houston, TX 77069 | 2017-09-19 |
| 1639697071 | Nancy Wade | Behavior Technician | 13313 Cutten Rd. Apt. 2203, Houston, TX 77069 | 2017-09-06 |
| 1568919017 | Jasmine Ned | Home Health Aide | 5959 1960 W Rd, Apt 621, Houston, TX 77069 | 2016-09-01 |
| 1528415007 | Gracesprings Healthcare Services | Day Training, Developmentally Disabled Services | 4606 Fm 1960 Rd W, Ste 322, Houston, TX 77069 | 2016-05-16 |
| 1164887923 | Beatrice Huong Pham | Pharmacist | 7075 Fm1960 W., Houston, TX 77069 | 2015-12-22 |
| 1659746675 | Stediclinic Pllc | Nurse Practitioner | 4560 Fm 1960 Rd W Ste 106, Houston, TX 77069 | 2015-12-02 |
| 1053719799 | Mann Eye Center, Pa | Optometrist | 6927 Fm 1960 West, Suite D, Houston, TX 77069 | 2014-12-11 |
| 1598166381 | 20-20 Express--houston LLC | Eyewear Supplier (Equipment, not the service) | 6927 Fm 1960 W, Houston, TX 77069 | 2014-09-11 |
| Find all providers in zip 77069 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150839 | Victoria Behavioral Services Clinic LLC | Community/Behavioral Health | 16205 Westheimer Rd Ste 100, Houston, TX 77082-1207 | 2020-09-29 |
| 1205441383 | Lei Behavioral Services, LLC | Community/Behavioral Health | 6201 Bonhomme Rd # She266n, Houston, TX 77036-4365 | 2020-09-15 |
| 1588272298 | Better Now LLC | Community/Behavioral Health | 2705 Cohn Arbor Ln, Houston, TX 77007-1292 | 2020-07-20 |
| 1366050049 | Johnson Aba, LLC | Community/Behavioral Health | 17629 El Camino Real Ste 104, Houston, TX 77058-6005 | 2020-07-17 |
| 1457979056 | Unlimited Pathways To Change, LLC | Community/Behavioral Health | 5757 Woodway Dr Ste 300, Houston, TX 77057-1535 | 2020-07-09 |
| 1104441864 | Beyond Care Mental Health and Behavioral Services | Community/Behavioral Health | 8449 W Bellfort St Ste 325, Houston, TX 77071-2257 | 2020-06-09 |
| 1942822952 | Oak Leaf Behavioral Health | Community/Behavioral Health | 1600 Eldridge Pkwy Apt 3607, Houston, TX 77077-1667 | 2020-05-13 |
| 1194346635 | Houston Wellness and Balance | Community/Behavioral Health | 15603 Manorford Ct, Houston, TX 77095-2270 | 2020-05-06 |
| 1669008009 | Essential Health, LLC | Community/Behavioral Health | 2211 Norfolk St Ste 514, Houston, TX 77098-4056 | 2020-03-17 |
| 1114551462 | Dr. Gala Health Coaching LLC | Community/Behavioral Health | 13726 Stabledon Dr, Houston, TX 77014-2146 | 2020-02-26 |
| Find all providers in HOUSTON | ||||
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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.