Organization
AFFECT GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LEE YOUNG PHD (CLINICAL SOCIAL WORKER)
(214) 520-7007
Entity
Organization
Contact information
Practice address
10300 N CENTRAL EXPY, SUITE 172, DALLAS, TX 75231-8600
(214) 520-7007
(214) 361-1929
Mailing address
10300 N CENTRAL EXPY, SUITE 172, DALLAS, TX 75231-8600
(214) 520-7007
(214) 361-1929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026482201
—
TX
Enumeration date
01/28/2008
Last updated
05/19/2009
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