Fresh Start Community Services, LLC
Fresh Start Community Services, LLC is a healthcare organization registered as Counselor in Terry, MS, holding Type 2 (organization) NPI 1417349150 since 2015. The authorized official on file is Tonya Tate, Ceo/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417349150 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fresh Start Community Services, LLC |
| Practice address | 152 EDWARD OWENS DR, Terry, MS, 39170 |
| Phone | 6019542421 |
| Enumeration date | 2015-03-03 |
| Last updated in NPPES | 2015-03-03 |
Authorized official
| Name | Tonya Tate |
|---|---|
| Title | Ceo/Owner |
| Phone | 6019542421 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 101Y00000X | Counselor | Primary | — | — |
Copy-ready billing details
Provider: Fresh Start Community Services, LLC NPI: 1417349150 Taxonomy: 101Y00000X (Counselor) Address: 152 EDWARD OWENS DR, Terry, MS, 39170
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265824908 | Tonya Tate | Individual | Counselor | Terry, MS |
Verify this record
Cross-check NPI 1417349150 against the authoritative CMS record: view Fresh Start Community Services, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Fresh Start Community Services, LLC?
Who is the authorized official for Fresh Start Community Services, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-03-03.