Fresh Start, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AD601 Issued in LA

Legal business name

FRESH START, INC.

Practice address

100 Beauvais Ave
Suite a-1
Lafayette, LA 70507-2468

Phone

(337) 886-1617

Fax

(337) 886-1588

NPI assigned

May 25, 2006

Last updated

Aug 22, 2020By 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

Mr. Kendall Errond Williams, LPC

Title

President/Program Director

Phone

(337) 886-1617

Specialties & licenses 1

Addresses

Other identifiers 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.

• Nicole Dickens, MD

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1376522516
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588610554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BEAUVAIS AVE",
            "address_2": "SUITE A-1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072468",
            "telephone_number": "337-886-1617",
            "fax_number": "337-886-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BEAUVAIS AVE",
            "address_2": "SUITE A-1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072468",
            "telephone_number": "337-886-1617",
            "fax_number": "337-886-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "ERROND",
        "authorized_official_title_or_position": "PRESIDENT/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "337-886-1617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "AD601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1428396",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Claire Freeman, PLPC
• Madison Avery Fremin, MA, BCBA
• Hollie Biersmith French, LPC, ATR
• Nathan Shane French
• Fresenius Medical Care Broussard, LLC (Fresenius Kidney Care Broussard)
• Conrad Ferdinand Frey IV, DDS
• Conrad Ferdinand Frey III, D.D.S, M.S.
• Daniel Joseph Frey, MD
• Freysurgical LLC
• Friedberg Psychological Group Inc

• Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.