Provider Demographics
NPI:1669578290
Name:AFFINITY COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:AFFINITY COUNSELING SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:610-670-7010
Mailing Address - Street 1:2917 WINDMILL RD
Mailing Address - Street 2:STE 4
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1679
Mailing Address - Country:US
Mailing Address - Phone:610-670-7010
Mailing Address - Fax:610-670-7910
Practice Address - Street 1:2917 WINDMILL RD
Practice Address - Street 2:STE 4
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1679
Practice Address - Country:US
Practice Address - Phone:610-670-7010
Practice Address - Fax:610-670-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50020228OtherCAPITAL BLUE CROSS
PA7890663OtherAETNA
PA2400265000OtherINDEP BC PERSONAL CHOICE