Fresh Start Community Services LLC

Primary specialty

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

Legal business name

FRESH START COMMUNITY SERVICES LLC

Practice address

2470 Pruden Blvd
Suffolk, VA 23434-4206

Phone

(757) 934-3399

Fax

(757) 934-3389

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Vesha Jones

Title

Ceo/President

Phone

(757) 202-0295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1386474997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HIGHFIELD RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349316",
            "telephone_number": "757-202-0295",
            "fax_number": "757-934-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344206",
            "telephone_number": "757-934-3399",
            "fax_number": "757-934-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VESHA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "757-202-0295"
    },
    "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": []
}

• Nicole Frazier
• Mary Kathryn Freeman-Stauffer
• Travoria Freeman
• Joseph Lawrence Frenkel, M.D.
• Fresenius Medical Care North Suffolk Home, LLC
• Linda Kay Frey, N.P.
• Adam Gabriel Friedlander, BCBA
• Lauren Baillargeon Friedlander, BS, BCABA
• Kristin Helgerson Frigelj, BCBA
• Gianfranco Alberto Frojo Jr., M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Suffolk, VA
• Providers in Suffolk, 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 Aug 13, 2024; 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.