Provider Demographics
NPI:1063019511
Name:AFFINITY THERAPY LLC
Entity Type:Organization
Organization Name:AFFINITY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARISHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUPARELIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:732-910-9912
Mailing Address - Street 1:119 TRUMAN DR
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-2155
Mailing Address - Country:US
Mailing Address - Phone:732-910-9912
Mailing Address - Fax:
Practice Address - Street 1:119 TRUMAN DR
Practice Address - Street 2:
Practice Address - City:WOOD RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07075-2155
Practice Address - Country:US
Practice Address - Phone:732-910-9912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty