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1801367263 NPI number — SHANELLE FIELDS PH, D., LPC

NPI Number: 1801367263
Health Care Provider/Practitioner: SHANELLE FIELDS PH, D., LPC

Information about “1801367263” NPI (SHANELLE FIELDS PH, D., LPC) exists in 1801367263 in HTML format HTML  |  1801367263 in plain Text format TXT  |  1801367263 in PDF (Portable Document Format) PDF  |  1801367263 in an XML format XML  formats.

NPI Number : 1801367263 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801367263",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FIELDS",
    "FirstName": "SHANELLE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH, D., LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8583 BAYBORO LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH CHARLESTON",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29420-7103",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "222 VARNFIELD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUMMERVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29483-7331",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-324-2828",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/11/2018",
    "LastUpdateDate": "02/13/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "7051",
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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