Fresh Start Counseling and Treatment Center

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

1000032 Issued in TX

Legal business name

FRESH START COUNSELING AND TREATMENT CENTER

Doing business as

Gladys Lowry

Practice address

215 Executive Way Ste 140B
Desoto, TX 75115-2396

Phone

(972) 298-1146

Fax

(972) 298-1170

NPI assigned

Jul 23, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Gladys Lowry

Title

Sponsor

Phone

(972) 365-9534

Specialties & licenses 1

Addresses

Other names 1

• Gladys Lowry Doing business as

Locations

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1811242217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EXECUTIVE WAY STE 140B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152396",
            "telephone_number": "972-298-1146",
            "fax_number": "972-298-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EXECUTIVE WAY STE 140B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152396",
            "telephone_number": "972-298-1146",
            "fax_number": "972-298-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COUNSELING AND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "SPONSOR",
        "authorized_official_telephone_number": "972-365-9534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "1000032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladys Lowry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Methadone Clinic in Desoto, TX
• Providers in Desoto, TX by specialty
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.