Provider Demographics
NPI:1346872249
Name:HARTFIELD, TRELEASE DAWNYEIL
Entity Type:Individual
Prefix:MRS
First Name:TRELEASE
Middle Name:DAWNYEIL
Last Name:HARTFIELD
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 1:80 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2577
Mailing Address - Country:US
Mailing Address - Phone:912-272-5252
Mailing Address - Fax:
Practice Address - Street 1:413 W BEL AIR AVE STE 103
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2424
Practice Address - Country:US
Practice Address - Phone:443-934-1810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-08
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10245101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional