# FRESH START OUTREACH MINISTRIES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresh Start Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649015926
- **Authorized official:** NORMAN CLAY RUSSELL (DIRECTOR)
- **Authorized official phone:** (318) 435-7061

## Contact information

- **Practice address:** 7060 PRAIRIE RD, WINNSBORO, LA 71295-2951
- **Practice address phone:** (318) 435-7061
- **Mailing address:** PO BOX 593, WINNSBORO, LA 71295-0593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 06/27/2024
- **Last updated:** 06/27/2024