Provider Demographics
NPI:1861285470
Name:OPEN FIELDS MENTAL HEALTH, PLLC
Entity type:Organization
Organization Name:OPEN FIELDS MENTAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:DUFTY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:313-333-7869
Mailing Address - Street 1:510 FRANKLIN CT
Mailing Address - Street 2:
Mailing Address - City:DUNDEE
Mailing Address - State:MI
Mailing Address - Zip Code:48131-1200
Mailing Address - Country:US
Mailing Address - Phone:313-333-7869
Mailing Address - Fax:
Practice Address - Street 1:415 MILL RD BLDG A
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1764
Practice Address - Country:US
Practice Address - Phone:313-333-7869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)