Healthcare Provider Details

I. General information

NPI: 1245316694
Provider Name (Legal Business Name): AFFINITY HEALTH, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 LIMESTONE RD SUITE 103
WILMINGTON DE
19808-1250
US

IV. Provider business mailing address

5301 LIMESTONE RD SUITE 103
WILMINGTON DE
19808-1250
US

V. Phone/Fax

Practice location:
  • Phone: 302-234-8982
  • Fax: 302-234-8984
Mailing address:
  • Phone: 302-234-8982
  • Fax: 302-234-8984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC0000337
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB1-0000212
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB10000190
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB10000662
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB10000201
License Number StateDE
# 6
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB1-0000210
License Number StateDE
# 7
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateDE

VIII. Authorized Official

Name: SAMUEL H BLUMBERG
Title or Position: MEMBER PSYCHOLOGIST
Credential: PH.D.
Phone: 302-652-7733