Affinity Therapy Services
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Edina, MN
NPI 1760147045 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1760147045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- AFFINITY THERAPY SERVICES
- Practice address
- 5245 Edina Industrial Blvd
Edina, MN 55439-2910 - Phone
- (612) 227-0875
- NPI assigned
- Nov 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Abdirahman Shire
- Title
- President
- Phone
- (612) 227-0875
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
5245 Edina Industrial Blvd
Edina, MN 55439-2910
Mailing address
5245 Edina Industrial Blvd
Edina, MN 55439-2910
Phone (612) 227-0875
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- Affinity Psychological Services, P.C.
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- Leah Nicole Agneberg
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All providers in Edina, MN · Adolescent and Children Mental Health Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. 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.