Provider Demographics
NPI:1447934203
Name:FIELD, MOLLY MITCHELL-HARDT (LMFT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:MITCHELL-HARDT
Last Name:FIELD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:JESSICA
Other - Last Name:MITCHELL-HARDT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:339 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-2642
Mailing Address - Country:US
Mailing Address - Phone:978-505-8220
Mailing Address - Fax:
Practice Address - Street 1:457 CONCHA LOMA DR
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-2531
Practice Address - Country:US
Practice Address - Phone:978-505-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115954106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist