Provider Demographics
NPI:1114971900
Name:FIELDS, ROCHELLE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:146 LAKE ELLEN DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1937
Mailing Address - Country:US
Mailing Address - Phone:919-968-7681
Mailing Address - Fax:919-968-7681
Practice Address - Street 1:201 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2231
Practice Address - Country:US
Practice Address - Phone:919-968-7681
Practice Address - Fax:919-968-7681
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC729106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC131J6OtherBCBS OF NC