Provider Demographics
NPI:1548880891
Name:LEVERT-FIELDS, RICHELL K (INDEPENDENT PROVIDER)
Entity type:Individual
Prefix:MRS
First Name:RICHELL
Middle Name:K
Last Name:LEVERT-FIELDS
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4646 E 177TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-3910
Mailing Address - Country:US
Mailing Address - Phone:216-541-3701
Mailing Address - Fax:
Practice Address - Street 1:4646 E 177TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-3910
Practice Address - Country:US
Practice Address - Phone:216-541-3701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services