MEDICARE: AFFINITY COUNSELING AND THERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1114591518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY COUNSELING AND THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	13201 NORTHWEST FWY STE 800
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-6157
Country	:	US
Telephone Number	:	713-586-8870
Fax Number	:

Provider Business Practice Location Address
First Line	:	13201 NORTHWEST FWY STE 662
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-0003
Country	:	US
Telephone Number	:	832-358-5767
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. CRYSTAL NEHS
Credential	:	LPC
Telephone Number	:	832-358-5767

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	02/28/2024

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