Organization · NPI-2

Affinity Counseling & Therapeutic Services

Clinic/Center, Multi-Specialty · Shreveport, LA

NPI number1295368199
StatusActive
Last updated in NPPESMar 31, 2024

Details

NPI
1295368199
Entity type
Organization (NPI-2)
Legal business name
Affinity Counseling & Therapeutic Services
Organization subpart
No
Enumeration date
Feb 19, 2020
Certification date
Mar 31, 2024
Last updated
Mar 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Other names

  • Affinity Counseling Center (Doing Business As)

Practice location

2001 E 70th St Ste 506
Shreveport, LA 71105-5364

Phone 318-501-2606 · Fax 877-290-0424

Mailing address

Po Box 934
Keithville, LA 71047-0934

Phone 318-501-2606 · Fax 877-290-0424

Authorized official

Jocelyn M Brown
Owner
3184895927

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