Healthcare Provider Details

I. General information

NPI: 1144155771
Provider Name (Legal Business Name): RAHKIYA FIELDS-DINKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 12TH ST
WEST COLUMBIA SC
29169-6142
US

IV. Provider business mailing address

1805 CLEMSON RD UNIT 290392
COLUMBIA SC
29229-0516
US

V. Phone/Fax

Practice location:
  • Phone: 803-316-9826
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12235
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12235
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: