Organization
START FRESH FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASANDRA MERRITT CBHCMS (CEO)
(813) 957-2239
Entity
Organization
Contact information
Practice address
135 N MOON AVE, BRANDON, FL 33510-4419
(813) 489-4546
(813) 381-5140
Mailing address
135 N MOON AVE, BRANDON, FL 33510-4419
(813) 489-4546
(813) 381-5140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBHCMS100611
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
03/12/2020
Last updated
02/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us