Fresh Start Rescource Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FRESH START RESCOURCE CENTER LLC

Practice address

840 E McKellips Rd Ste 109
Mesa, AZ 85203-9654

Phone

(310) 493-1517

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Tracy Pleasant

Title

Managing Member

Phone

(702) 406-4466

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.

• Savanah Sheriff

  • Behavior Analyst
  • Mesa, AZ
  • NPI 1619589702
  NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1326650417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "310-493-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "310-493-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START RESCOURCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-406-4466"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Fregoso
• Kelly D Frei
• Shyanne French
• Kasey J Frese
• Fresh Start Center LLC
• Nicole Frey, RN
• Angela Marie Fried, M.D.
• Steven H Friedland, M.D.
• Jenna Miriam Friedman
• Melanie Friedman, LMSW

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.