# FRESH START MARRIAGE AND FAMILY THERAPY, PLLC

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

## Provider details

- **NPI number:** 1649986993
- **Authorized official:** MRS. AQUANDALLA DAVIS (OWNER)
- **Authorized official phone:** (347) 394-9283

## Contact information

- **Practice address:** 1204 BROADWAY STE 1008, NEW YORK, NY 10001-4308
- **Practice address phone:** (877) 777-9711
- **Practice address fax:** (877) 777-9711
- **Mailing address:** 1204 BROADWAY STE 1008, NEW YORK, NY 10001-4308
- **Mailing address phone:** (877) 777-9711
- **Mailing address fax:** (877) 777-9711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 03/20/2026