Provider Demographics
NPI:1255883344
Name:FIELD-BIERL, GILLIAN NICHOLE (LCAT, ATR-BC)
Entity type:Individual
Prefix:MRS
First Name:GILLIAN
Middle Name:NICHOLE
Last Name:FIELD-BIERL
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 461
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-0461
Mailing Address - Country:US
Mailing Address - Phone:716-393-9883
Mailing Address - Fax:
Practice Address - Street 1:2340 BOWEN RD STE A
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059-9459
Practice Address - Country:US
Practice Address - Phone:716-393-9883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health