Provider Demographics
NPI:1386168813
Name:AFFINITY COUNSELING GROUP, LLC
Entity type:Organization
Organization Name:AFFINITY COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC NCC
Authorized Official - Phone:770-676-8735
Mailing Address - Street 1:537 TENNYSON
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4247
Mailing Address - Country:US
Mailing Address - Phone:770-676-8735
Mailing Address - Fax:248-841-4714
Practice Address - Street 1:945 S ROCHESTER RD STE 101
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2762
Practice Address - Country:US
Practice Address - Phone:248-971-0898
Practice Address - Fax:248-841-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014519101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty