| Affinity Therapy And Counseling Services | |
|
4910 Urbandale Ave Suite 305 Des Moines IA 50310-2664 | |
| (515) 201-3446 | |
| Not Available |
| Full Name | Affinity Therapy And Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 4910 Urbandale Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Vincent Kelly (OWNER) |
| Authorized Official Contact | 5152013446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Therapy And Counseling Services 9633 Enfield Dr Johnston IA 50131-3081 Ph: (515) 201-3446 | Affinity Therapy And Counseling Services 4910 Urbandale Ave Suite 305 Des Moines IA 50310-2664 Ph: (515) 201-3446 |
| NPI Number | 1891147310 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 07/08/2016 |
| Medicare PECOS PAC ID | 0840520300 |
|---|---|
| Medicare Enrollment ID | O20190925003254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891147310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Andrea L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104204056 PECOS PAC ID: 9032495361 Enrollment ID: I20170420001883 |
| Provider Name | Vincent Antoine Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699288498 PECOS PAC ID: 4981936192 Enrollment ID: I20240402004261 |
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