# FRESH START SPEECH THERAPY PLLC

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

## Provider details

- **NPI number:** 1285408435
- **Authorized official:** MICHELLE RENEE MIRLAS CCC-SLP, TSSLD (SPEECH PATHOLOGIST)
- **Authorized official phone:** (347) 583-0304

## Contact information

- **Practice address:** 1480 E 71ST ST, BROOKLYN, NY 11234-5730
- **Practice address phone:** (347) 583-0304
- **Mailing address:** 1480 E 71ST ST, BROOKLYN, NY 11234-5730
- **Mailing address phone:** (347) 583-0304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/08/2023