| Shariyfa Aziyza Fields, LCSW | |
| 
					1624 Jessup St, Wilmington, DE 19802-4210  | |
| (302) 552-3574 | |
| (302) 552-3561 | 
| Full Name | Shariyfa Aziyza Fields | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 1624 Jessup St, Wilmington, Delaware | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205144060 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | Q1-0001345 (Delaware) | Primary | 
| Entity Name | Harmonious Mind Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205937174 PECOS PAC ID: 9931126604 Enrollment ID: O20051101000709  | 
| Entity Name | The Life Center Complex, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770808578 PECOS PAC ID: 6800038076 Enrollment ID: O20130819000252  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shariyfa Aziyza Fields, LCSW 222 Philadelphia Pike, Suite 4, Wilmington, DE 19809-3166 Ph: (302) 552-3574  | Shariyfa Aziyza Fields, LCSW 1624 Jessup St, Wilmington, DE 19802-4210 Ph: (302) 552-3574  | 
Ms. Mary P Soligo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5235 W Woodmill Dr, Suite 47, Wilmington, DE 19808 Phone: 302-995-1680 Fax: 302-995-1790  | |
Mrs. Melissa Gail Hickey, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Philadelphia Pike, Trinity Healing Center, Suite C, Wilmington, DE 19809 Phone: 302-260-0605  | |
Lavonya Ann Moore, LPCMH Counselor Medicare: Medicare Enrolled Practice Location: 1601 Milltown Rd Ste 13, Wilmington, DE 19808 Phone: 302-683-4938 Fax: 302-417-0418  | |
Mrs. Jenna Helen Hitchens,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Foulk Rd, Wilmington, DE 19803 Phone: 302-655-3953  | |
Kathleen M Flood,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Silverside Rd Ste 67, Wilmington, DE 19809 Phone: 302-217-6399  | |
Mrs. Susan Ruth Chandler, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 N Rodney St, Wilmington, DE 19806 Phone: 302-652-6545 Fax: 302-652-1811  | |
Andrew P Capone Sr., LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 N James St, Suite 104-106, Wilmington, DE 19804 Phone: 302-633-0301 Fax: 302-633-0331  |