institution
Fresh Start Psychiatric Clinic
Multi-Specialty Clinic/Center in Houston, Texas
NPI 1427666353

Fresh Start Psychiatric Clinic is a Multi-Specialty Clinic/Center based in Lafayette, TX and is specialized in Multi-Specialty. Fresh Start Psychiatric Clinic practices in Houston, TX. The NPI Number for Fresh Start Psychiatric Clinic is 1427666353 and holds a License No. (Texas).

The current practice location address for Fresh Start Psychiatric Clinic is 11455 Fallbrook Dr Ste 201, Houston, TX and can be reached out via phone at 337-223-9487 and via fax at 888-511-5650. You can also correspond with Fresh Start Psychiatric Clinic through the mailing address at 1921 DULLES DR, LAFAYETTE, LA - 70506-2716 (mailing address contact number: 373-223-9487).

Location: 11455 Fallbrook Dr Ste 201, Houston, TX, 70506-2716
institution
Provider Profile Details
NPI Number
1427666353
Provider Name
Fresh Start Psychiatric Clinic
Credential
Provider Entity Type
Organization
Address
11455 Fallbrook Dr Ste 201, Houston, TX, 70506-2716
Phone Number
337-223-9487
Fax Number
888-511-5650
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11813129 01 CAQH
1029807 05 LA
600712760 01 LA MAGELLAN
NJ2611 01 NJ BCBS#
MD.201514 01 LA MD LICENSE
418846 01 LA MHN
institution
Provider Business Practice Location Address Details
Address
11455 Fallbrook Dr Ste 201
City
State
Zip
77065-4267
Phone Number
337-223-9487
Fax Number
888-511-5650
person
Provider Business Mailing Address Details
Address
11455 Fallbrook Dr Ste 201
City
State
Zip
77065-4267
Phone Number
337-223-9487
Fax Number
888-511-5650
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
License No.
()
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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