| 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 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Medicare PECOS PAC ID | 9032579420 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013604164 PECOS PAC ID: 0941660336 Enrollment ID: I20230717003246 |
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