| Affinity Therapy Associates Llc | |
|
327 Ann Street Chadron NE 69337 | |
| (308) 432-6910 | |
| (308) 432-8467 |
| Full Name | Affinity Therapy Associates Llc |
|---|---|
| Speciality | Counselor |
| Location | 327 Ann Street, Chadron, Nebraska |
| Authorized Official Name and Position | Nikki D Kilgore (OFFICE MANAGER) |
| Authorized Official Contact | 3084326910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Therapy Associates Llc 327 Ann Street Chadron NE 69337 Ph: (308) 432-6910 | Affinity Therapy Associates Llc 327 Ann Street Chadron NE 69337 Ph: (308) 432-6910 |
| NPI Number | 1386715654 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3476994831 |
|---|---|
| Medicare Enrollment ID | O20240516000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386715654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Karla Sue Thompson Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720147002 PECOS PAC ID: 4385085745 Enrollment ID: I20240516000760 |
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