| NPI | 1255927026 |
|---|---|
| Former Legal Business Name | FIELDS OF CHANGE COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | DIONE FIELDS Provider 804-324-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |