Healthcare Provider Details

I. General information

NPI: 1861203069
Provider Name (Legal Business Name): NC FIELD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 N QUEEN ST STE 315
KINSTON NC
28501-4988
US

IV. Provider business mailing address

327 N QUEEN ST STE 315
KINSTON NC
28501-4988
US

V. Phone/Fax

Practice location:
  • Phone: 252-933-2533
  • Fax:
Mailing address:
  • Phone: 252-933-2533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELISSA CASTILLO
Title or Position: CERTIFIED ALCOHOL AND DRUG COUNSELO
Credential:
Phone: 919-208-7677