Fresh Start Family Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FRESH START FAMILY SUPPORT SERVICES

Practice address

405 Hearne Ave
Shreveport, LA 71103-2021

Phone

(318) 422-3547

NPI assigned

Feb 9, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Brenda M Giles

Title

Ceo

Phone

(318) 422-3547

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1093253098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711032021",
            "telephone_number": "318-422-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711032021",
            "telephone_number": "318-422-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-422-3547",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakayla Freeman
• Shamela Renessa Freeman
• Madison Fremen, PTA
• Gregory French
• Fresh Start Community Health Center LLC
• Melissa Ann Tingler Frick, PHARM.D., R.PH.
• Bernard Friday
• Marsha Friedrich, MD
• Friendly Transport LLC
• Bratton Frierson

• Community/Behavioral Health Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.