| Affirm Therapy Connections Pllc | |
|
2406 Juniper Dr Amarillo TX 79109-1916 | |
| (303) 437-2714 | |
| Not Available |
| Full Name | Affirm Therapy Connections Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2406 Juniper Dr, Amarillo, Texas |
| Authorized Official Name and Position | Emily Mae Permenter (LCSW / OWNER) |
| Authorized Official Contact | 3034372714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affirm Therapy Connections Pllc 5000 S Western St # 19703 Amarillo TX 79109-6192 Ph: (303) 437-2714 | Affirm Therapy Connections Pllc 2406 Juniper Dr Amarillo TX 79109-1916 Ph: (303) 437-2714 |
| NPI Number | 1154197390 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 9234575333 |
|---|---|
| Medicare Enrollment ID | O20240312001541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154197390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Emily Mae Permenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609559087 PECOS PAC ID: 3870939978 Enrollment ID: I20240312001841 |
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