National Provider Identifier
Ryan Tylon-Elijah Fields, MHC, MPA
Ryan Tylon-Elijah Fields, MHC, MPA is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ridgewood, NY and a listed phone number of (718) 506-5457.
Source: public NPPES record, last updated June 29, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1053938746
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 29, 2020
- Last Updated
- June 29, 2020
Practice Location
- 5913 Grove St
- Ridgewood, NY 11385-2647
Phone: (718) 506-5457
Mailing Address
- 7323 210Th St Apt 3C
- Bayside, NY 11364-2815
Specialties
- Mental Health Counselor (101YM0800X)
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Biography
Ryan Fields, MHC, MPA, is a Ridgewood, Queens-based mental health counselor associated with Awaken Wellness NYC, a New York therapy practice with locations in Ridgewood and Queens Village. The practice emphasizes trauma-informed, culturally responsive, whole-person care and offers specialized services that include immigration evaluations, DWI/DUI assessments, and letters of support for gender-affirming care.
Full Record
- NPI
- 1053938746
- Entity Type
- Individual
- Last Name
- Fields
- First Name
- Ryan
- Middle Name
- Tylon-Elijah
- Credential
- MHC, MPA
- Mailing Street Address
- 7323 210Th St Apt 3C
- Mailing City
- Bayside
- Mailing State
- NY
- Mailing ZIP Code
- 11364-2815
- Mailing Country
- US
- Mailing Phone
- (718) 506-5457
- Practice Street Address
- 5913 Grove St
- Practice City
- Ridgewood
- Practice State
- NY
- Practice ZIP Code
- 11385-2647
- Practice Country
- US
- Practice Phone
- (718) 506-5457
- Enumeration Date
- June 29, 2020
- Last Updated
- June 29, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 29, 2020
- Taxonomies
- Mental Health Counselor (101YM0800X)