| Affirm Counseling Services | |
|
112 Vivian Ln Peachtree City GA 30269-2305 | |
| (678) 770-9636 | |
| Not Available |
| Full Name | Affirm Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 112 Vivian Ln, Peachtree City, Georgia |
| Authorized Official Name and Position | Nicole Wint (OWNER) |
| Authorized Official Contact | 6787709636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affirm Counseling Services 112 Vivian Ln Peachtree City GA 30269-2305 Ph: (678) 770-9636 | Affirm Counseling Services 112 Vivian Ln Peachtree City GA 30269-2305 Ph: (678) 770-9636 |
| NPI Number | 1427768837 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 03/30/2023 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 4082088612 |
|---|---|
| Medicare Enrollment ID | O20230323000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427768837 | NPI | - | NPPES |
| CSW007843 | Other | GA | LCSW |
| Provider Name | Nicole Wint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104360171 PECOS PAC ID: 9032584255 Enrollment ID: I20230331000703 |
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