| Fresh Start Counseling Services Llc | |
|
9600 Koger Blvd N #240 St Petersburg FL 33702-2487 | |
| (727) 571-3737 | |
| (727) 556-0704 |
| Full Name | Fresh Start Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9600 Koger Blvd N, St Petersburg, Florida |
| Authorized Official Name and Position | Cindy Elizabeth Swain (SOLE MEMBER) |
| Authorized Official Contact | 7275713737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Counseling Services Llc 9600 Koger Blvd N #240 St Petersburg FL 33702-2487 Ph: (727) 571-3737 | Fresh Start Counseling Services Llc 9600 Koger Blvd N #240 St Petersburg FL 33702-2487 Ph: (727) 571-3737 |
| NPI Number | 1528219888 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528219888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | SW7729 (Florida) | Primary |
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