Provider Demographics
NPI:1043527963
Name:JOEFIELD, ENOLA DAPHNE RIETA (MA)
Entity type:Individual
Prefix:
First Name:ENOLA
Middle Name:DAPHNE RIETA
Last Name:JOEFIELD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10423 TECOMA DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5052
Mailing Address - Country:US
Mailing Address - Phone:757-419-9591
Mailing Address - Fax:
Practice Address - Street 1:10423 TECOMA DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5052
Practice Address - Country:US
Practice Address - Phone:757-419-9591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60122903101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional