Provider Demographics
NPI:1235950262
Name:AFFINITY COMPREHENSIVE COUNSELING
Entity type:Organization
Organization Name:AFFINITY COMPREHENSIVE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:LAURREN
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:BS, LADC
Authorized Official - Phone:402-706-9657
Mailing Address - Street 1:1120 DELMAR ST APT 5C
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-2883
Mailing Address - Country:US
Mailing Address - Phone:402-706-9657
Mailing Address - Fax:
Practice Address - Street 1:1120 DELMAR ST APT 5C
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2883
Practice Address - Country:US
Practice Address - Phone:402-706-9657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty