| Simon-fields Counseling & Consultation | |
|
4011 Beatline Rd Ste 9 Long Beach MS 39560-4135 | |
| (228) 332-0224 | |
| Not Available |
| Full Name | Simon-fields Counseling & Consultation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4011 Beatline Rd Ste 9, Long Beach, Mississippi |
| Authorized Official Name and Position | Angela Simon Fields (OWNER/ PROVIDER) |
| Authorized Official Contact | 2283320224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon-fields Counseling & Consultation 4 Hartford Pl Gulfport MS 39507-2241 Ph: (228) 332-0224 | Simon-fields Counseling & Consultation 4011 Beatline Rd Ste 9 Long Beach MS 39560-4135 Ph: (228) 332-0224 |
| NPI Number | 1366090888 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366090888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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