# FIELDS BRIGHT THERAPY AND CONSULTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316548241
- **Authorized official:** MS. TRACY SIMONE FIELDS LISW (AUTHORIZED OFFICIAL/OWNER)
- **Authorized official phone:** (864) 504-7684

## Contact information

- **Practice address:** 535 W BUTLER RD STE C, GREENVILLE, SC 29607-4833
- **Practice address phone:** (864) 581-2619
- **Mailing address:** 634 NE MAIN ST UNIT 1022, SIMPSONVILLE, SC 29681-9735
- **Mailing address phone:** (864) 504-7684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2020
- **Last updated:** 01/25/2021