FRESH START FAMILY THERAPY SERVICES (NPI# 1265059067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265059067 |
| Entity Type | Organization |
| Organization Name | FRESH START FAMILY THERAPY SERVICES |
| Practice Address |
600 Somerdale Rd Ste 101 Voorhees NJ 08043-1858 |
| Mailing Address |
38 Walnut Ave Lindenwold NJ 08021-1635 |
| Practice Telephone | 8562207035 |
| Practice Fax Number | 8565959377 |
| Mailing Telephone | 8562207035 |
| Mailing Fax Number | 8565959377 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | MS. BRIDGET JUANIQUE LARK (OWNER) |
| Authorized Official Telephone | 8562207035 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1386125946 | 05 |
| Street Address |
600 SOMERDALE RD STE 101 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578779708 | Kathleen Gabriel | Marriage & Family Therapist | 55 William Feather Dr, Voorhees, NJ 08043-2914 | 2007-05-15 |
| 1912216409 | Charles C Muorah | Marriage & Family Therapist | 1000 White Horse Rd, Suite 108, Voorhees, NJ 08043-4406 | 2010-09-30 |
| 1548471279 | Wanda Marie Sevey | Marriage & Family Therapist | 1000 White Horse Rd, Suite 108, Voorhees, NJ 08043-4406 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325019 | Nicholas Joseph Spanola | Marriage & Family Therapist | 302 Hawthorne Ave Ste 1, Point Pleasant Beach, NJ 08742-2539 | 2020-10-29 |
| 1598362469 | Kathrine Evans | Marriage & Family Therapist | 216 Neptune Dr, Manahawkin, NJ 08050-1751 | 2020-10-05 |
| 1437756582 | Yung Cha | Marriage & Family Therapist | 180 Undercliff Ave, Edgewater, NJ 07020-1125 | 2020-10-01 |
| 1518574680 | Collaborative Connections LLC | Marriage & Family Therapist | 39 20th Ave Fl 2, Irvington, NJ 07111-4451 | 2020-09-23 |
| 1699381095 | Kenneth Young | Marriage & Family Therapist | 37 Sturgis Rd, Edison, NJ 08817-4039 | 2020-09-21 |
| 1114530060 | Alexander M Cicchino | Marriage & Family Therapist | 11 Cherokee Rd, Cranford, NJ 07016-3360 | 2020-08-28 |
| 1912525874 | Maria S Mora | Marriage & Family Therapist | 41 Marinus St, Rochelle Park, NJ 07662-3805 | 2020-07-08 |
| 1750908869 | Dolly Bosire | Marriage & Family Therapist | 2040 Millburn Ave Ste 303, Maplewood, NJ 07040-3716 | 2020-07-06 |
| 1033734298 | Gurjot Mondair | Marriage & Family Therapist | 11 Thorn Briar Ln, Burlington, NJ 08016-5131 | 2020-06-13 |
| 1851926737 | Lillian M Candelario | Marriage & Family Therapist | 24 N 3rd Ave Ste 100c, Highland Park, NJ 08904-2429 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
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| 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.