# FRESH START BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063293082
- **Authorized official:** MOHAMED BAH (OWNER)
- **Authorized official phone:** (713) 748-5086

## Contact information

- **Practice address:** 601 W 1ST AVE, SPOKANE, WA 99201-3825
- **Practice address phone:** (509) 418-5216
- **Mailing address:** 3744 ARMAND DR, DICKINSON, TX 77539-4461
- **Mailing address phone:** (509) 418-5216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2023
- **Last updated:** 02/14/2024