| Affinity Counseling Associates | |
|
2305 W Franklin St Evansville IN 47712-5118 | |
| (518) 488-7404 | |
| Not Available |
| Full Name | Affinity Counseling Associates |
|---|---|
| Speciality | Social Worker |
| Location | 2305 W Franklin St, Evansville, Indiana |
| Authorized Official Name and Position | Kimberly Ermi (PRESIDENT) |
| Authorized Official Contact | 5184887404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Counseling Associates 8015 Blessing Way Evansville IN 47712-2984 Ph: (518) 488-7404 | Affinity Counseling Associates 2305 W Franklin St Evansville IN 47712-5118 Ph: (518) 488-7404 |
| NPI Number | 1801535653 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Medicare PECOS PAC ID | 6507234242 |
|---|---|
| Medicare Enrollment ID | O20221130001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801535653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimberly Ermi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518472893 PECOS PAC ID: 7315206851 Enrollment ID: I20180109001175 |
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