# AFFINITY THERAPY SERVICES

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

## Provider details

- **NPI number:** 1821553363
- **Authorized official:** MR. ROSS GROSSMAN LMFT (PRESIDENT)
- **Authorized official phone:** (323) 310-8939

## Contact information

- **Practice address:** 5455 WILSHIRE BLVD STE 1010, LOS ANGELES, CA 90036-4237
- **Practice address phone:** (323) 646-4477
- **Practice address fax:** (323) 395-0455
- **Mailing address:** 5455 WILSHIRE BLVD STE 1010, LOS ANGELES, CA 90036-4237
- **Mailing address phone:** (323) 310-8939
- **Mailing address fax:** (323) 395-0455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | NULL | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 02/08/2019
- **Last updated:** 02/08/2019