FRESH START BEHAVIORAL HEALTH CLINIC LLC
NPI 1093434813
Clinic/Center - Adult Mental Health in Tempe, AZ

Active since August 24, 2022
4667 S LAKESHORE DR STE 5, TEMPE, AZ 85282(630) 965-3229 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, Aug 24, 2022 (2 updates tracked since 2022).

About Fresh Start Behavioral Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH START BEHAVIORAL HEALTH CLINIC LLC (NPI 1093434813) is a healthcare organization registered as an adult mental health in Tempe, Arizona and active in the NPI registry since August 2022. The organization lists Dana Holland, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093434813
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameFRESH START BEHAVIORAL HEALTH CLINIC LLC
Location Address4667 S LAKESHORE DR STE 5Tempe, AZ 85282-7293
Mailing Address4667 S Lakeshore Dr Ste 5Tempe, AZ 85282-7293 · (630) 965-3229
Organization SubpartNo
Authorized OfficialDana HollandCeo · (630) 965-3229
Enumeration DateAugust 24, 2022
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1093434813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4667 S LAKESHORE DR STE 5, Tempe, AZ 85282

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
4667 S LAKESHORE DR STE 5
TEMPE, AZ 85282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Start Behavioral Health Clinic LLC's NPI number?

The NPI number for Fresh Start Behavioral Health Clinic LLC is 1093434813. It was assigned to this organization in the NPPES registry on August 24, 2022.

Where is Fresh Start Behavioral Health Clinic LLC located?

Fresh Start Behavioral Health Clinic LLC is located at 4667 S Lakeshore Dr Ste 5, Tempe, AZ 85282. The listed phone number is (630) 965-3229.

What is Fresh Start Behavioral Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Fresh Start Behavioral Health Clinic LLC was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.