Fresh Start 4U LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FRESH START 4U LLC

Practice address

9620 Iron Bridge Rd Ste 201B
Chesterfield, VA 23832-6459

Phone

(804) 621-4236

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Clara Brunette, QMHPNPI 1972214476

Title

Owner

Phone

(804) 350-9987

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clara R Brunette

  • Community Health Worker
  • Chesterfield, VA
  • NPI 1972214476
  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1144008012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 IRON BRIDGE RD STE 201B",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326459",
            "telephone_number": "804-621-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 IRON BRIDGE RD STE 201B",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326459",
            "telephone_number": "804-621-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START 4U LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "BRUNETTE",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-350-9987",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Fowlkes
• Demetrice Fox
• Suzanne Frailing-Saltisiak, LCSW
• Autumn Angel Frazier
• Ja'Nai Xzana Tellis Frederick, O.D.
• Robin L Friedman, M.D.
• Laura Fuentes, S.L.P.
• Gregory S Fulk, L.C.S.W.
• Kara Norment Fulop, LPC
• Laquina Fulton Garvin, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.