Provider Demographics
NPI:1679293252
Name:AFFIRM THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:AFFIRM THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:EVELINE
Authorized Official - Last Name:NORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-C
Authorized Official - Phone:313-241-6085
Mailing Address - Street 1:18010 MURRAY HILL ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3162
Mailing Address - Country:US
Mailing Address - Phone:313-241-6085
Mailing Address - Fax:
Practice Address - Street 1:18010 MURRAY HILL ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3162
Practice Address - Country:US
Practice Address - Phone:313-241-6085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)