| Fresh Start Therapy Services, Llc | |
|
1417 N Semoran Blvd Ste 201 Orlando FL 32807-3555 | |
| (407) 099-5164 | |
| Not Available |
| Full Name | Fresh Start Therapy Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1417 N Semoran Blvd Ste 201, Orlando, Florida |
| Authorized Official Name and Position | Lisa Spindle (OWNER) |
| Authorized Official Contact | 4079005164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Therapy Services, Llc 650 N Alafaya Trl Ste 101 # 782409 Orlando FL 32878-7501 Ph: (407) 900-5164 | Fresh Start Therapy Services, Llc 1417 N Semoran Blvd Ste 201 Orlando FL 32807-3555 Ph: (407) 099-5164 |
| NPI Number | 1316357726 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316357726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | SW11509 (Florida) | Primary |
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