Fields, Kristin N

Fields, Kristin N is an individual health care provider with primary practice located at 13201 Granger Rd Ste 8 , Garfield Heights OH 44125-1979. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fields, Kristin N can be contacted via phone (216) 831-2255.

Contact Information

Primary practice address
13201 Granger Rd Ste 8 Garfield Heights OH 44125-1979
Phone: (216) 831-2255
Fax: (216) 378-3906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.0900178 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0900178 Ohio

Profile Details

NPI number 1811249832
LBN Legal business name Fields, Kristin N
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2012
Last updated Sep 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811249832 NPPES
Ohio MEDICAID 2871101

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