Provider Demographics
NPI:1558944843
Name:ADRIAN FIELDS LMHC AND ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ADRIAN FIELDS LMHC AND ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:FIELDS
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:631-885-1212
Mailing Address - Street 1:17 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2562
Mailing Address - Country:US
Mailing Address - Phone:631-885-1212
Mailing Address - Fax:
Practice Address - Street 1:17 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-2562
Practice Address - Country:US
Practice Address - Phone:631-885-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty