A FRESH START LLC (NPI# 1033685961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033685961 |
| Entity Type | Organization |
| Organization Name | A FRESH START LLC |
| Practice Address |
30 Hazel Ter Ste K Woodbridge CT 06525-2240 |
| Mailing Address |
363 Norton St New Haven CT 06511-7115 |
| Practice Telephone | 2035721236 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | ROBERT MOORE (OWNER) |
| Authorized Official Telephone | 2036453071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548702947 | A Fresh Start LLC | Case Management | 7637 Hull Street Rd Ste 101, North Chesterfield, VA 23235-6437 | 2016-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | A Fresh Start LLC | 363 Norton Street, New Haven, CT 06511 |
| Virginia Business Entities | A Fresh Start LLC | 7005 Hull St Road, North Chesterfield, Virginia 23224 |
| Street Address |
30 HAZEL TER STE K |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1538604566 | Susan G Israel | Psychiatry & Neurology | 18 Carriage Hill Road, Woodbridge, CT 06525 | 2016-12-29 |
| 1417409947 | Personal Care Training LLC | Home Health | 30 Hazel Terace #7, Woodbridge, CT 06525 | 2016-11-01 |
| 1538506324 | James A Killian | Counselor | 1 Bradley Rd Ste 106, Woodbridge, CT 06525 | 2013-06-03 |
| 1154666063 | Julie M Charron | Physical Therapy Assistant | 5 Spring Valley Rd, Woodbridge, CT 06525 | 2012-12-04 |
| 1780931022 | Edward David Martino | Dentist | 1674 Litchfield Turnpike, Woodbridge, CT 06525 | 2012-08-06 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1629383906 | Innovative Healthcare | Exclusive Provider Organization | 555 Amity Rd., Woodbridge, CT 06525 | 2010-08-11 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
| Find all providers in zip 06525 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940617 | Tamara La Shaun Carter | Counselor | 13000 Harbor Center Dr Ste 362, Woodbridge, VA 22192-2846 | 2020-04-14 |
| 1528604600 | Ni Hsieh | Counselor | 4000 Genesee Pl Ste 101, Woodbridge, VA 22192-8302 | 2019-11-22 |
| 1609425529 | Juanita Patricia Stokes | Counselor | 14999 Birchdale Ave, Woodbridge, VA 22193-1317 | 2019-09-04 |
| 1255983987 | Arthur Daniel Square Jr. | Counselor | 14000 Crown Ct Ste 101, Woodbridge, VA 22193-1461 | 2019-07-12 |
| 1770046849 | Najah Dail | Counselor | 15200 Leicestershire St Unit 356, Woodbridge, VA 22191-5929 | 2019-04-07 |
| 1790246973 | Ginger Lane Hall | Counselor | 12741 Darby Brook Ct, Woodbridge, VA 22192-2406 | 2019-03-28 |
| 1336604768 | Yaoying Qu | Counselor | 13135 Hillendale Dr, Woodbridge, VA 22193-5131 | 2019-02-11 |
| 1598231482 | Denere Postell | Counselor | 843 Rahway Ave Fl 2, Woodbridge, NJ 07095-3648 | 2018-10-17 |
| 1750882411 | Kaitlyn Ann Appel | Counselor | 1308 Devils Reach Rd Ste 300, Woodbridge, VA 22192-2806 | 2018-02-27 |
| 1144741984 | Kimberly Ann Milam | Counselor | 2200 Opitz Blvd Ste 340, Woodbridge, VA 22191-3339 | 2017-07-01 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 06525 |
Please comment or provide details below to improve the information on A FRESH START LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.