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Contact Information

A FRESH START BEHAVIORAL HEALTH SERVICES, PLLC
2407 GRACE AVE
NEW BERN, NC28562-4416
 Phone: 252-414-9776
 Fax: 252-414-9776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for A FRESH START BEHAVIORAL HEALTH SERVICES, PLLC

NPI # 1710499223
LBN Legal business name A FRESH START BEHAVIORAL HEALTH SERVICES, PLLC
Authorized official ANTHONY HARRIS - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2017
Last updated 01/29/2021 - About 5 years ago
Identifiers
NC License # C008809
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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