# AFFINITY WELLNESS CORPORATIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528305018
- **Authorized official:** BRYAN LAKE (CEO)
- **Authorized official phone:** (608) 732-1007

## Contact information

- **Practice address:** 2211 S HIGHWAY 77, SUITE 101-102, LYNN HAVEN, FL 32444-4640
- **Practice address phone:** (850) 896-1818
- **Practice address fax:** (850) 722-8782
- **Mailing address:** 2211 S HIGHWAY 77, SUITE 101-102, LYNN HAVEN, FL 32444-4640
- **Mailing address phone:** (850) 896-1818
- **Mailing address fax:** (850) 722-8782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | FL | Yes |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 01/03/2013