Provider Demographics
NPI:1396814398
Name:FIELD, MARIA (LPC)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:
Last Name:FIELD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 1036
Mailing Address - Street 2:
Mailing Address - City:KENNEDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76060-1036
Mailing Address - Country:US
Mailing Address - Phone:817-483-0020
Mailing Address - Fax:817-572-6676
Practice Address - Street 1:6001 W IH-20 SUITE #214
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017
Practice Address - Country:US
Practice Address - Phone:817-483-0020
Practice Address - Fax:817-572-6676
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15352101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1622482-01Medicaid