Provider Demographics
NPI:1194572438
Name:AFFINITY COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:AFFINITY COUNSELING SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN, BSN,MSW,LICSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:MCCARTER
Authorized Official - Last Name:M MCCARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN,MSW,LICSW
Authorized Official - Phone:206-338-6556
Mailing Address - Street 1:3417 EVANSTON AVE N STE 515
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8972
Mailing Address - Country:US
Mailing Address - Phone:206-338-6556
Mailing Address - Fax:
Practice Address - Street 1:3417 EVANSTON AVE N STE 515
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8972
Practice Address - Country:US
Practice Address - Phone:206-338-6556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty