TIERRA YOUNGBLOOD-FIELD NPI 1346757762

NPI Information

NPI: 1346757762
Provider Name: TIERRA YOUNGBLOOD-FIELD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1345 MONROE AVE NW STE 234
GRAND RAPIDS, MI
ZIP 49505
Phone: (616) 420-1060
Get Directions

Tierra Youngblood-field is a professional counselor in Grand Rapids, MI. Tierra Youngblood-field NPI is 1346757762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1345 MONROE AVE NW STE 234
GRAND RAPIDS, MI
ZIP 49505-692
Phone: (616) 420-1060

The enumeration date for this NPI number is 1/8/2018 and was last updated on 12/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401017826	MICHIGAN	Yes
2	106H00000X	Marriage & Family Therapist		4101006746	MICHIGAN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1346757762	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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