MEDICARE: FRESH START CONSULTING & FINANCIAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1588146427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESH START CONSULTING & FINANCIAL SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 90759
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77290-0759
Country	:	US
Telephone Number	:	504-339-0344
Fax Number	:	866-832-8454

Provider Business Practice Location Address
First Line	:	6518 HAMPDEN POINT CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-5632
Country	:	US
Telephone Number	:	504-339-0344
Fax Number	:	866-832-8454

Authorized Official
Title or Position	:	DIRECT OWNER
Name	:	DARLENE LESTRICK
Credential	:
Telephone Number	:	504-339-0344

Provider Enumeration Date	:	09/06/2018
Last Update Date	:	09/06/2018

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