Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fresh Start Community Services, LLC

Organization Counselor · NPI 1417349150

Fresh Start Community Services, LLC is a Counselor in Terry, Mississippi. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

152 Edward Owens Dr
Terry, MS 39170-8921
Phone: (601) 954-2421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Community Health Worker Taxonomy 172V00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1417349150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tonya Tate — Ceo/Owner · (601) 954-2421
NPI enumeratedMarch 3, 2015
Last updated in NPPESMarch 3, 2015
Mailing address152 Edward Owens Dr, Terry, MS 39170-8921

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