A Fresh Start LLC
Counselor, Professional in Woodbridge, Connecticut
1033685961- Practice location
- 30 Hazel Ter Ste K, Woodbridge, CT 06525-2240
- Phone
- 203-572-1236
- Fax
- —
- Last updated
- October 18, 2018
A Fresh Start LLC is a healthcare organization based in Woodbridge, CT. A Fresh Start LLC practices in Woodbridge, CT. The NPI Number for A Fresh Start LLC is 1033685961. The current practice location address for A Fresh Start LLC is 30 Hazel Ter Ste K, Woodbridge, CT 06525-2240 and can be reached out via phone at 203-572-1236.
Provider Profile Details
- NPI Number
- 1033685961
- Provider Name
- A Fresh Start LLC
- Provider Entity Type
- Organization
- Address
- 30 Hazel Ter Ste K, Woodbridge, CT 06525-2240
- Phone Number
- 203-572-1236
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Robert Moore · Owner · 203-645-3071
- Provider Enumeration Date
- October 18, 2018
- Last Update Date
- October 18, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Hazel Ter Ste K
Woodbridge, CT 06525-2240 - City
- Woodbridge
- State
- Connecticut
- Zip
- 06525-2240
- Phone Number
- 203-572-1236
Provider Business Mailing Address Details
- Address
- 363 Norton St
New Haven, CT 06511-7115 - City
- New Haven
- State
- CT
- Zip
- 06511-7115
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Social Worker · 104100000X
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (4)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of A Fresh Start LLC?
The NPI number of A Fresh Start LLC is 1033685961. It was assigned on October 18, 2018 and is currently active in the NPPES registry.
What is the specialty of A Fresh Start LLC?
A Fresh Start LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does A Fresh Start LLC practice?
The practice location is 30 Hazel Ter Ste K, Woodbridge, CT 06525-2240. The office can be reached at 203-572-1236 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033685961 directly on the NPPES registry website.