Organization
FRESH START, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL ERROND WILLIAMS LPC (PRESIDENT/PROGRAM DIRECTOR)
(337) 886-1617
Entity
Organization
Contact information
Practice address
100 BEAUVAIS AVE, SUITE A-1, LAFAYETTE, LA 70507-2468
(337) 886-1617
(337) 886-1588
Mailing address
100 BEAUVAIS AVE, SUITE A-1, LAFAYETTE, LA 70507-2468
(337) 886-1617
(337) 886-1588
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AD601
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1428396
—
LA
Enumeration date
05/25/2006
Last updated
08/22/2020
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