| Affinity Therapy Of The Emerald Coast Inc | |
|
385 Harbor Blvd Ste 101b Destin FL 32541-2351 | |
| (850) 460-8977 | |
| Not Available |
| Full Name | Affinity Therapy Of The Emerald Coast Inc |
|---|---|
| Speciality | Social Worker |
| Location | 385 Harbor Blvd Ste 101b, Destin, Florida |
| Authorized Official Name and Position | Patricia M Walsh (OWNER) |
| Authorized Official Contact | 8504608977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Therapy Of The Emerald Coast Inc 385 Harbor Blvd Ste 101b Destin FL 32541-2351 Ph: () - | Affinity Therapy Of The Emerald Coast Inc 385 Harbor Blvd Ste 101b Destin FL 32541-2351 Ph: (850) 460-8977 |
| NPI Number | 1649746579 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 1254677347 |
|---|---|
| Medicare Enrollment ID | O20190110001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649746579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386941151 PECOS PAC ID: 1254518251 Enrollment ID: I20110531000220 |
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