Healthcare Provider Details

I. General information

NPI: 1609719798
Provider Name (Legal Business Name): ANGELA CANTRELL FIELDING COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 COLLINS RD NE STE 17
CEDAR RAPIDS IA
52402-3168
US

IV. Provider business mailing address

375 COLLINS RD NE STE 17
CEDAR RAPIDS IA
52402-3168
US

V. Phone/Fax

Practice location:
  • Phone: 319-208-0175
  • Fax:
Mailing address:
  • Phone: 319-208-0175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANGELA ANNETTE CANTRELL FIELDING
Title or Position: MENTAL HEATH THERAPIST/OWNER
Credential: LISW
Phone: 319-538-3591