Provider Demographics
NPI:1972895332
Name:FIELDS, TUNYA R (MSW)
Entity type:Individual
Prefix:MISS
First Name:TUNYA
Middle Name:R
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 BRIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-6531
Mailing Address - Country:US
Mailing Address - Phone:850-210-8899
Mailing Address - Fax:
Practice Address - Street 1:2607 BRIGHTON RD
Practice Address - Street 2:2607 BRIGHTON ROAD.
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-6531
Practice Address - Country:US
Practice Address - Phone:850-210-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker