OrganizationActive
Fresh Start Therapeutic Services, LLC
NPI 1730809732 · Mental Health Clinic/Center (Including Community Mental Health Center) · Joppa, MD
Provider details
- NPI number
- 1730809732
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tekora Nichols, Clinical Manager(240) 370-9479
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
626 Towne Center Dr Ste 204
Joppa, MD 21085-4451
Phone: (443) 313-3241
Street-level locationGet directions
Mailing address
626 Towne Center Dr Ste 204
Joppa, MD 21085-4451
Registry dates
- Enumerated
- 2022-08-30
- Last updated
- 2022-08-30
- Certified
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.