Fresh Solutions Wellness Services & Consulting, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FRESH SOLUTIONS WELLNESS SERVICES & CONSULTING, LLC

Practice address

5245 N University Dr Ste a
Lauderhill, FL 33351-5017

Phone

(754) 213-1619

NPI assigned

Oct 7, 2020

Last updated

Apr 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elimay Lois Maxwell, LCSWNPI 1689137341

Title

Manager/Owner

Phone

(754) 213-1619

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elimay Lois Maxwell, LCSW

  • Clinical Social Worker
  • Lauderhill, FL
  • NPI 1689137341
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1386241933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SW 61ST TER",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330681716",
            "telephone_number": "954-993-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 N UNIVERSITY DR STE A",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515017",
            "telephone_number": "754-213-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH SOLUTIONS WELLNESS SERVICES & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ELIMAY",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "754-213-1619",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115481800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Francois
• Robert Stanley Frankel, D.M.D.
• Fred Grayson Inc
• Freedom of Choice Support Services So FL, Inc.
• Freedom of Choice Support Services, Inc.
• Fresh Solutions Wellness Services Inc
• Frierton Dialysis LLC (Inverrary Dialysis)
• Sofia Abigail Funes, D.O.
• Matthew Furey
• John Thomas Fusaro, OTA

• Adult Mental Health Clinic/Center in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.