FRESH START BEHAVIORAL HEALTH LLC
NPI 1457078347
Counselor - Addiction (Substance Use Disorder) in Glendale, AZ

Active since October 21, 2022
5422 W THUNDERBIRD RD, GLENDALE, AZ 85306(623) 216-5759 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Oct 21, 2022 (2 updates tracked since 2022).

About Fresh Start Behavioral Health Llc NPPES

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

FRESH START BEHAVIORAL HEALTH LLC (NPI 1457078347) is a healthcare organization registered as an addiction (substance use disorder) in Glendale, Arizona and active in the NPI registry since October 2022. The organization lists Paul Bangura, Coe/adminstration, as its authorized official.

NPPES Registry Identity

NPI1457078347
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameFRESH START BEHAVIORAL HEALTH LLC
Location Address5422 W THUNDERBIRD RDGlendale, AZ 85306-4700
Mailing Address5422 W Thunderbird RdGlendale, AZ 85306-4700 · (623) 216-5759
Organization SubpartNo
Authorized OfficialPaul BanguraCoe/adminstration · (623) 216-5759
Enumeration DateOctober 21, 2022
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1457078347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5422 W THUNDERBIRD RD, Glendale, AZ 85306

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Behavior Technician
5422 W THUNDERBIRD RD
GLENDALE, AZ 85306
Internal Medicine
5422 W THUNDERBIRD RD, STE 15
GLENDALE, AZ 85306
Clinic/Center (Radiology, Mammography)
5422 W THUNDERBIRD RD, # 19C
GLENDALE, AZ 85306
Pediatrics
5422 W THUNDERBIRD RD, SUITE #5
GLENDALE, AZ 85306
Family Medicine
5422 W THUNDERBIRD RD, SUITE 2
GLENDALE, AZ 85306
Family Medicine
5422 W THUNDERBIRD RD, SUITE 2
GLENDALE, AZ 85306
Family Medicine
5422 W THUNDERBIRD RD, SUITE 22
GLENDALE, AZ 85306
Behavior Technician
5422 W THUNDERBIRD RD
GLENDALE, AZ 85306

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 LLC's NPI number?

The NPI number for Fresh Start Behavioral Health LLC is 1457078347. It was assigned to this organization in the NPPES registry on October 21, 2022.

Where is Fresh Start Behavioral Health LLC located?

Fresh Start Behavioral Health LLC is located at 5422 W Thunderbird Rd, Glendale, AZ 85306. The listed phone number is (623) 216-5759.

What is Fresh Start Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Fresh Start Behavioral Health LLC was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.