Whalio Doctors

NPI 1790219871

Affinity Clinical Services, PLLC

Organisation Supports Brokerage Agency Charlotte, NC

Practice location

Address
5500 Executive Center Drive Suite 118, Charlotte, NC 28212
Phone
(980) 224-8060
Fax
(704) 379-1914

Authorised official

Name
Samuel Ndupu
Title
Clinical Director, Owner
Phone
(980) 224-8060

Registered specialties (2)

Supports Brokerage Agency Primary
Agencies Taxonomy 251X00000X
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 4936 (NC)

Registry record

NPI
1790219871
Entity type
Organization
NPI issued
17 Apr 2017
Record last updated
19 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.