| Start Fresh Counseling Center, Inc | |
|
135 N Moon Ave Brandon FL 33510-4419 | |
| (813) 489-4547 | |
| Not Available |
| Full Name | Start Fresh Counseling Center, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 135 N Moon Ave, Brandon, Florida |
| Authorized Official Name and Position | Casandra Anne Merritt (CEO) |
| Authorized Official Contact | 8134894546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Start Fresh Counseling Center, Inc 135 N Moon Ave Brandon FL 33510-4419 Ph: (813) 489-4547 | Start Fresh Counseling Center, Inc 135 N Moon Ave Brandon FL 33510-4419 Ph: (813) 489-4547 |
| NPI Number | 1376930362 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376930362 | NPI | - | NPPES |
| 015050400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH 12768 (Florida) | Primary |
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