Fresh Start Mental Health Services LLC
NPI 1114812674 · Community/Behavioral Health Agency · Myrtle Beach, SC
Fresh Start Mental Health Services LLC is a Community/Behavioral Health Agency organization in Myrtle Beach, SC (NPI 1114812674).
Provider details
- NPI number
- 1114812674
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kimberly Davis, Credentialing Specialists(912) 373-4385
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Frequently asked questions
- What is Fresh Start Mental Health Services LLC's NPI number?
- Fresh Start Mental Health Services LLC's National Provider Identifier (NPI) is 1114812674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fresh Start Mental Health Services LLC?
- Fresh Start Mental Health Services LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Fresh Start Mental Health Services LLC located?
- Fresh Start Mental Health Services LLC's practice location on file with NPPES is 6223 Chadderton Circle, Myrtle Beach, SC 29579-4484.
- What is Fresh Start Mental Health Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Fresh Start Mental Health Services LLC is (301) 213-1306.
- Who is the authorized official for Fresh Start Mental Health Services LLC?
- The authorized official listed on Fresh Start Mental Health Services LLC's NPPES record is Kimberly Davis, Credentialing Specialists. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fresh Start Mental Health Services LLC's NPI active?
- Yes — Fresh Start Mental Health Services LLC's NPI (1114812674) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.