Individual
TRACY SIMONE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
535 W BUTLER RD STE C, GREENVILLE, SC 29607-4833
(864) 581-2619
Mailing address
229 HOLSTEIN CT, FOUNTAIN INN, SC 29644-9493
(864) 504-7684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11787
SC
1041C0700X
Clinical Social Worker
11787
SC
171M00000X
Case Manager/Care Coordinator
11787
SC
Other
Enumeration date
02/13/2017
Last updated
10/15/2020
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