Provider Demographics
NPI:1366900037
Name:WARFIELD, ALPHONSO
Entity type:Individual
Prefix:
First Name:ALPHONSO
Middle Name:
Last Name:WARFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 STONEWOOD DR APT 2714
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5298
Mailing Address - Country:US
Mailing Address - Phone:214-536-7752
Mailing Address - Fax:
Practice Address - Street 1:6301 STONEWOOD DR APT 2714
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5298
Practice Address - Country:US
Practice Address - Phone:214-536-7752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor