Provider Demographics
NPI:1255042529
Name:COFIELD, JHARNELL XYLIA (LCSWA)
Entity type:Individual
Prefix:
First Name:JHARNELL
Middle Name:XYLIA
Last Name:COFIELD
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 BLUEBIRD LN APT 307
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9932
Mailing Address - Country:US
Mailing Address - Phone:252-325-2541
Mailing Address - Fax:
Practice Address - Street 1:3001 ACADEMY RD STE 130
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2653
Practice Address - Country:US
Practice Address - Phone:919-241-1032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0168931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical