Provider Demographics
NPI:1184395576
Name:FIELDS AND FIELDS LLC
Entity type:Organization
Organization Name:FIELDS AND FIELDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:334-320-1604
Mailing Address - Street 1:584 CHAPEL ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6980
Mailing Address - Country:US
Mailing Address - Phone:334-320-1604
Mailing Address - Fax:
Practice Address - Street 1:584 CHAPEL ST APT 3B
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6980
Practice Address - Country:US
Practice Address - Phone:334-320-1604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty