Healthcare Provider Details

I. General information

NPI: 1669578290
Provider Name (Legal Business Name): AFFINITY COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2917 WINDMILL RD STE 4
SINKING SPRING PA
19608-1679
US

IV. Provider business mailing address

2917 WINDMILL RD STE 4
SINKING SPRING PA
19608-1679
US

V. Phone/Fax

Practice location:
  • Phone: 610-670-7010
  • Fax: 610-670-7910
Mailing address:
  • Phone: 610-670-7010
  • Fax: 610-670-7910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MICHELE A ROLAND
Title or Position: PARTNER
Credential: MA LPC
Phone: 610-670-7010