FRESH START MENTAL HEALTH SERVICES LLC
NPI 1114812674
Community/Behavioral Health in Myrtle Beach, SC

Q: What is Fresh Start Mental Health Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 12, 2025

6223 CHADDERTON CIRCLE, MYRTLE BEACH, SC 29579(301) 213-1306 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fresh Start Mental Health Services Llc NPPES

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

FRESH START MENTAL HEALTH SERVICES LLC (NPI 1114812674) is a healthcare organization registered as a community/behavioral health in Myrtle Beach, South Carolina and active in the NPI registry since June 2025. The organization lists Kimberly Davis, Credentialing Specialists, as its authorized official.

NPPES Registry Identity

NPI1114812674

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameFRESH START MENTAL HEALTH SERVICES LLC

Location Address6223 CHADDERTON CIRCLEMyrtle Beach, SC 29579-4484

Mailing Address6223 Chadderton CircleMyrtle Beach, SC 29579-4484 · (301) 213-1306

Phone(301) 213-1306

Organization SubpartNo

Authorized OfficialKimberly DavisCredentialing Specialists · (912) 373-4385

Enumeration DateJune 12, 2025

NPPES CertifiedJune 12, 2025

✔ NPI 1114812674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

6223 CHADDERTON CIRCLE, Myrtle Beach, SC 29579

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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 Mental Health Services LLC's NPI number?

The NPI number for Fresh Start Mental Health Services LLC is 1114812674. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Fresh Start Mental Health Services LLC located?

Fresh Start Mental Health Services LLC is located at 6223 Chadderton Circle, Myrtle Beach, SC 29579. The listed phone number is (301) 213-1306.

What is Fresh Start Mental Health Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Fresh Start Mental Health Services LLC was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.