Fresh Start Family Behavioral Wellness, PLLC
Organization Active NPI Community/Behavioral Health Agency · Cameron, NC
NPI 1851179865 · NPPES record last updated Dec 23, 2023
Key facts
- NPI
- 1851179865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- FRESH START FAMILY BEHAVIORAL WELLNESS, PLLC
- Practice address
- 200 Gilchrist Rd
Cameron, NC 28326-9453 - Phone
- (910) 391-6509
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tifane Chambers, PMHNP-BC
- Title
- Owner
- Phone
- (910) 436-6495
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
200 Gilchrist Rd
Cameron, NC 28326-9453
Mailing address
200 Gilchrist Rd
Cameron, NC 28326-9453
Phone (910) 436-6495
Other providers in Cameron, NC
- First Choice Community Health Centers
- Alicia R Fleming
- Florida Autism Center
- Fortify ABA and Consulting LLC
- Faith Foster
- Holly Frost
- Savannah Frydlo
- Caitlyn Garcia
- Janece Gavaletz
- Caroline Shealy Gerraghty
All providers in Cameron, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.