Field S Counseling Center Llc | |
14165 N Fenton Rd Fenton MI 48430-1587 | |
(810) 610-5480 | |
Not Available |
Full Name | Field S Counseling Center Llc |
---|---|
Speciality | Social Worker |
Location | 14165 N Fenton Rd, Fenton, Michigan |
Authorized Official Name and Position | Tina Marie Fields (OWNER/OPERATOR) |
Authorized Official Contact | 8106105480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Field S Counseling Center Llc 7515 Lions Gate Pkwy Davison MI 48423-3193 Ph: (810) 610-5480 | Field S Counseling Center Llc 14165 N Fenton Rd Fenton MI 48430-1587 Ph: (810) 610-5480 |
NPI Number | 1518658798 |
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Provider Enumeration Date | 05/17/2023 |
Last Update Date | 07/17/2023 |
Certification Date | 07/17/2023 |
Medicare PECOS PAC ID | 9032579420 |
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Medicare Enrollment ID | O20230717003189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518658798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Tina Marie Fields |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013604164 PECOS PAC ID: 0941660336 Enrollment ID: I20230717003246 |
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