Active NPI
Fresh Start Therapy Services, LLC
- Counselor
- Orlando, FL
National Provider Identifier
1316357726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SW11509
- Legal business name
- FRESH START THERAPY SERVICES, LLC
- Practice address
- 1417 N Semoran Blvd Ste 201
Orlando, FL 32807-3555 - Phone
- (407) 099-5164
- NPI assigned
- May 7, 2014
- Last updated
- Jul 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Spindle, LCSW
- Title
- Owner
- Phone
- (407) 900-5164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW11509 | FL | Primary |
Addresses
Primary practice location
1417 N Semoran Blvd Ste 201
Orlando, FL 32807-3555
Mailing address
650 N Alafaya TRL
Ste 101 # 782409
Orlando, FL 32878-7501
Phone (407) 900-5164
National Provider Directory
National Provider DirectoryLocations
1417 N Semoran Blvd
Ste 201
Orlando, FL 32807
Phone (407) 766-1799
650 N Alafaya Trl
Ste 101
Orlando, FL 32828
Phone (407) 204-9163
650 N Alafaya Trl
Unit 782409
Orlando, FL 32878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404950400000",
"number": "1316357726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N ALAFAYA TRL",
"address_2": "STE 101 # 782409",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328787501",
"telephone_number": "407-900-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 N SEMORAN BLVD STE 201",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073555",
"telephone_number": "407-099-5164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESH START THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2014-07-10",
"status": "A",
"authorized_official_last_name": "SPINDLE",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-900-5164",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "FL",
"license": "SW11509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.