Affinity Family Support Services PC
Organization Active NPI Community/Behavioral Health Agency · Erie, PA
NPI 1740570993 · NPPES record last updated Dec 2, 2016
Key facts
- NPI
- 1740570993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- CW013620 (PA)
- Legal business name
- AFFINITY FAMILY SUPPORT SERVICES PC
- Practice address
- 1324 W 38TH St
Erie, PA 16508-2462 - Phone
- (814) 835-1700
- Fax
- (814) 835-1701
- NPI assigned
- Apr 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Patricia Ann Potter, L.C.S.W
- Title
- Executive Director
- Phone
- (814) 835-1700
Practitioners 11
-
Corissa Claar, LSW
-
Francine Elizabeth Cochis, L.C.S.W.
-
Todd Lunger, LSW
-
Erica Maria Potter, LPC
-
Patricia Potter, LCSW
-
Darlene Sue Ryan, LPC
-
Dennis Robert Valone, ED.D.
-
Jennifer Jo Webb, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CW013620 | PA | Yes |
Addresses
Primary practice location
1324 W 38TH St
Erie, PA 16508-2462
Mailing address
1324 W 38TH St
Erie, PA 16508-2462
Phone (814) 835-1700
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.