Affinity Clinical Services, Pllc

LBN: Affinity Clinical Services, Pllc
Affinity Clinical Services, Pllc is an health care organization with primary practice located at 5500 Executive Center Drive Suite 118, Charlotte NC 28212. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Supports Brokerage. Agencies / Supports Brokerage is the primary health care specialty. Affinity Clinical Services, Pllc can be contacted via phone (980) 224-8060, or through Ndupu, Samuel via phone (980) 224-8060.

Contact Information

Primary practice address
5500 Executive Center Drive Suite 118 Charlotte NC 28212
Phone: (980) 224-8060
Fax: (704) 379-1914
Website:
Map and Directions
Authorized official contact:
Name: Ndupu, Samuel LCMHCS, CCS, LCAS
Phone: (980) 224-8060

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4936 North Carolina
Agencies / Supports Brokerage 251X00000X

Profile Details

NPI number 1790219871
LBN Legal business name Affinity Clinical Services, Pllc
DBA Doing business as
Authorized official Ndupu, Samuel LCMHCS, CCS, LCAS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2017
Last updated Jun 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790219871 NPPES
North Carolina MEDICAID 6103653

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