| Fresh Start Mental Health Services Llc | |
|
6223 Chadderton Circle Myrtle Beach SC 29579-4484 | |
| (301) 213-1306 | |
| Not Available |
| Full Name | Fresh Start Mental Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6223 Chadderton Circle, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Kimberly Davis (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 9123734385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Mental Health Services Llc 6223 Chadderton Circle Myrtle Beach SC 29579-4484 Ph: (301) 213-1306 | Fresh Start Mental Health Services Llc 6223 Chadderton Circle Myrtle Beach SC 29579-4484 Ph: (301) 213-1306 |
| NPI Number | 1114812674 |
|---|---|
| Provider Enumeration Date | 06/12/2025 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114812674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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