AFFINITY COUNSELING AND FAMILY LIFE SERVICES, LLC (NPI# 1114386125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114386125 |
| Entity Type | Organization |
| Organization Name | AFFINITY COUNSELING AND FAMILY LIFE SERVICES, LLC |
| Practice Address |
10632 Little Patuxent Pkwy Suite 343 Columbia MD 21044-3273 |
| Practice Telephone | 8887373330 |
| Mailing Telephone | 8887373330 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | DR. KIMBERLY VAN PUTTEN-GARDNER (PRESIDENT) |
| Authorized Official Telephone | 3013178050 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LC4143 | MD | Agencies |
| Street Address |
10632 LITTLE PATUXENT PKWY SUITE 343 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869948 | Sangita Tejas Doshi | Dentist | 10632 Little Patuxent Pkwy, Suite 337, Columbia, MD 21044-3273 | 2005-11-22 |
| 1396366431 | Samantha Hutchison | Counselor | 10632 Little Patuxent Pkwy, Columbia, MD 21044-3273 | 2020-04-29 |
| 1528524428 | Ann Gi Hun Pak Yip | Counselor | 10632 Little Patuxent Pkwy, Columbia, MD 21044-3273 | 2019-02-15 |
| 1811420615 | Jayyidah Clarke | Social Worker | 10632 Little Patuxent Pkwy, Suite 327, Columbia, MD 21044-3273 | 2017-04-07 |
| 1932640760 | Aziz Obgyn | Obstetrics & Gynecology | 10632 Little Patuxent Pkwy, Suite 106, Columbia, MD 21044-3273 | 2017-03-13 |
| 1548631674 | Maryland Coalition of Families for Children's Mental Health, Inc. | Voluntary or Charitable | 10632 Little Patuxent Pkwy, Suite 234, Columbia, MD 21044-3273 | 2015-10-15 |
| 1700265691 | Kimberly Vanputten-gardner | Counselor | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044-3273 | 2015-05-25 |
| 1568869832 | Starr Behavioral Services Corp | Counselor | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044 | 2014-12-02 |
| 1699172411 | Sangita Tejas Doshi, Dds, LLC | Dentist | 10632 Little Patuxent Pkwy, Suite 337, Columbia, MD 21044-3273 | 2014-11-21 |
| 1194125153 | American Psychiatric Group, P.a. | Clinical Medical Laboratory | 10632 Little Patuxent Pkwy, Suite #104, Columbia, MD 21044-3273 | 2014-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| 1518513795 | Carolina Family Wellness Clinic, LLC | Community/Behavioral Health | 9153 Two Notch Rd Ste 6, Columbia, SC 29223-5852 | 2019-08-14 |
| 1073174033 | David Hill Consultants, LLC | Community/Behavioral Health | 1818 Pulaski St, Columbia, SC 29201-2381 | 2019-06-21 |
| 1760943005 | Goodecounsel, LLC. | Community/Behavioral Health | 235 Village Walk, Columbia, SC 29209-2166 | 2019-03-28 |
| 1932672961 | Sunshine Counseling Lc | Community/Behavioral Health | 302 Hampton Forest Dr, Columbia, SC 29209-2572 | 2019-01-02 |
| 1285125757 | Carolina Counseling Consultants | Community/Behavioral Health | 7356 Garners Ferry Rd Ste 112, Columbia, SC 29209-2146 | 2018-05-21 |
| 1114414125 | Teal Fire Counseling & Consulting, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy Ste 343, Columbia, MD 21044-6239 | 2018-04-16 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.