| Fresh Start Counseling Pllc | |
|
322 Baldwin St Grand Prairie TX 75052-3308 | |
| (972) 677-9210 | |
| Not Available |
| Full Name | Fresh Start Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 322 Baldwin St, Grand Prairie, Texas |
| Authorized Official Name and Position | Alexandra Hawarden Lambeth (OWNER) |
| Authorized Official Contact | 9726779210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Counseling Pllc Po Box 542273 Grand Prairie TX 75054-2273 Ph: (972) 677-9210 | Fresh Start Counseling Pllc 322 Baldwin St Grand Prairie TX 75052-3308 Ph: (972) 677-9210 |
| NPI Number | 1801302955 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801302955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 74529 (Texas) | Primary |
| 225C00000X | Rehabilitation Counselor | 00120337 (Illinois) | Secondary |
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