Simon-Fields Counseling & Consultation
Social Worker, Clinical in Long Beach, MS. Organization (NPI-2).
NPI number1366090888
StatusActive
Last updated in NPPESApr 9, 2020
Details
- NPI
- 1366090888
- Entity type
- Organization (NPI-2)
- Legal business name
- Simon-Fields Counseling & Consultation
- Organization subpart
- No
- Enumeration date
- Aug 28, 2019
- Certification date
- Apr 9, 2020
- Last updated
- Apr 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
4011 Beatline Rd Ste 9Long Beach, MS 39560-4135
Phone 228-332-0224
Mailing address
4 Hartford PlGulfport, MS 39507-2241
Phone 228-332-0224
Authorized official
Angela Simon Fields
Owner/ Provider
2283320224
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