Doctor Name: | MRS. NAOMI S FIELDS |
NPI Number: | 1043250830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | 002349 |
Business Practice Address: | 7193 Douglas Blvd Suite 207 Douglasville, GA - 301351540 |
Business Phone Number: | 7709490074 |
Business Fax Number: | 7709491376 |
Mailing Address: | 7193 Douglas Blvd, Suite 207 DOUGLASVILLE |
State: | GA |
Postal Code: | 301351540 |
Phone Number: | 7709490074 |
Fax Number: | 7709491376 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 002349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |