Organization
AFFIRM COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WINT (OWNER)
(678) 770-9636
Entity
Organization
Contact information
Practice address
112 VIVIAN LN, PEACHTREE CITY, GA 30269-2305
(678) 770-9636
Mailing address
112 VIVIAN LN, PEACHTREE CITY, GA 30269-2305
(678) 770-9636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW007843
LCSW
GA
Enumeration date
11/28/2022
Last updated
03/30/2023
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