# START FRESH FOUNDATION INC

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

## Provider details

- **NPI number:** 1609402437
- **Authorized official:** MRS. CASANDRA MERRITT CBHCMS (CEO)
- **Authorized official phone:** (813) 957-2239

## Contact information

- **Practice address:** 135 N MOON AVE, BRANDON, FL 33510-4419
- **Practice address phone:** (813) 489-4546
- **Practice address fax:** (813) 381-5140
- **Mailing address:** 135 N MOON AVE, BRANDON, FL 33510-4419
- **Mailing address phone:** (813) 489-4546
- **Mailing address fax:** (813) 381-5140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/12/2020
- **Last updated:** 02/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CBHCMS100611 | FLORIDA CERTIFICATION BOARD | FL |