| Affinity Counseling, Llc | |
|
3404 Burdette St Omaha NE 68111-3636 | |
| (402) 813-0501 | |
| Not Available |
| Full Name | Affinity Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3404 Burdette St, Omaha, Nebraska |
| Authorized Official Name and Position | Stacy Lynn Vaughn (OWNER/THERAPIST) |
| Authorized Official Contact | 4028130501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Counseling, Llc 3404 Burdette St Omaha NE 68111-3636 Ph: (402) 813-0501 | Affinity Counseling, Llc 3404 Burdette St Omaha NE 68111-3636 Ph: (402) 813-0501 |
| NPI Number | 1598170185 |
|---|---|
| Provider Enumeration Date | 06/23/2014 |
| Last Update Date | 03/18/2015 |
| Medicare PECOS PAC ID | 9335679075 |
|---|---|
| Medicare Enrollment ID | O20250210002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598170185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 954 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1318 (Nebraska) | Primary |
| Provider Name | Stacy Lynn Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295179331 PECOS PAC ID: 0244760981 Enrollment ID: I20250210002817 |
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