| Affect Group, Inc. | |
|
10300 N Central Expy Suite 172 Dallas TX 75231-8600 | |
| (214) 520-7007 | |
| (214) 361-1929 |
| Full Name | Affect Group, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 10300 N Central Expy, Dallas, Texas |
| Authorized Official Name and Position | Michelle Lee Young (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2145207007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affect Group, Inc. 10300 N Central Expy Suite 172 Dallas TX 75231-8600 Ph: (214) 520-7007 | Affect Group, Inc. 10300 N Central Expy Suite 172 Dallas TX 75231-8600 Ph: (214) 520-7007 |
| NPI Number | 1659558146 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 05/19/2009 |
| Medicare PECOS PAC ID | 0648236950 |
|---|---|
| Medicare Enrollment ID | O20090625000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659558146 | NPI | - | NPPES |
| 026482201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 35485 (Texas) | Primary |
| Provider Name | Michelle Lee Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487704094 PECOS PAC ID: 5092799007 Enrollment ID: I20040616001451 |
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