Organization · Type 2 NPI
Madison Fields LPC LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Brooklet, GA
NPI number
1265361455
Active
Practice location
112 Parker Ave S
Brooklet, GA 30415-8208
Mailing address
PO Box 95
Brooklet, GA 30415-0095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1265361455
Madison Fields LPC LLC's National Provider Identifier is 1265361455, issued on May 14, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Brooklet, GA. The record was last updated on May 14, 2026.