Provider Demographics
NPI:1083070254
Name:BELFIELD, JACQUELINE COLLINS
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:COLLINS
Last Name:BELFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 LAKE FOREST BLVD APT 16304
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2475
Mailing Address - Country:US
Mailing Address - Phone:504-919-3256
Mailing Address - Fax:504-525-4483
Practice Address - Street 1:127 S SOLOMON ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5928
Practice Address - Country:US
Practice Address - Phone:504-483-3558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health