Affirmative Counseling and Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AFFIRMATIVE COUNSELING AND PSYCHOLOGICAL SERVICES, LLC

Practice address

1810 NW 6TH St Ste C
Gainesville, FL 32609-8535

Phone

(352) 474-8876

NPI assigned

Jan 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Koivula, PH.D.NPI 1538603964

Title

Director

Phone

(352) 474-8876

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Koivula, PH.D.

  • Counseling Psychologist
  • Durham, NC
  • NPI 1538603964
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1225799554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 NW 39TH AVE STE 130-3062",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067331",
            "telephone_number": "342-474-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 NW 6TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098535",
            "telephone_number": "352-474-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRMATIVE COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "KOIVULA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-474-8876",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.