| Organization Name: | FRESH START MENTAL HEALTH COUNSELING PLLC |
| NPI Number: | 1073959391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT E CUNNINGHAM (PRESIDENT) |
| Mailing Address: | 71 Main St Silver Creek |
| State: | NY US |
| Postal Code: | 14136 |
| Phone Number: | 7167805780 |
| Fax Number: | |
| NPI Enumeration Date: | 05/14/2013 |
| NPI Last Update Date: | 05/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 002723-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |