MEDICARE: FRESH BEHAVIORAL SERVICES

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1649973108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESH BEHAVIORAL SERVICES

Provider Business Mailing Address
First Line	:	2020 W FAIRBANKS AVE STE 211A
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4547
Country	:	US
Telephone Number	:	407-951-5022
Fax Number	:	386-310-2482

Provider Business Practice Location Address
First Line	:	2020 W FAIRBANKS AVE STE 211A
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4547
Country	:	US
Telephone Number	:	407-951-5022
Fax Number	:	386-310-2482

Authorized Official
Title or Position	:	CEO
Name	:	DR. PRISCILLA HILL
Credential	:	DHS
Telephone Number	:	772-323-1856

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	11/21/2025

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Directions to “FRESH BEHAVIORAL SERVICES ” Practice Location

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