| Fields Bright Therapy And Consultation | |
|
535 W Butler Rd Ste C Greenville SC 29607-4833 | |
| (864) 581-2619 | |
| Not Available |
| Full Name | Fields Bright Therapy And Consultation |
|---|---|
| Speciality | Social Worker |
| Location | 535 W Butler Rd Ste C, Greenville, South Carolina |
| Authorized Official Name and Position | Tracy Simone Fields (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 8645047684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fields Bright Therapy And Consultation 634 Ne Main St Unit 1022 Simpsonville SC 29681-9735 Ph: (864) 504-7684 | Fields Bright Therapy And Consultation 535 W Butler Rd Ste C Greenville SC 29607-4833 Ph: (864) 581-2619 |
| NPI Number | 1316548241 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Medicare PECOS PAC ID | 3072927334 |
|---|---|
| Medicare Enrollment ID | O20210127001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316548241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracy Simone Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629517578 PECOS PAC ID: 0648684993 Enrollment ID: I20210127001601 |
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