Organization
FRESH START MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
6223 CHADDERTON CIRCLE, MYRTLE BEACH, SC 29579-4484
(301) 213-1306
Mailing address
6223 CHADDERTON CIRCLE, MYRTLE BEACH, SC 29579-4484
(301) 213-1306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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