Basic Information
| Provider Information | |||||||||
| NPI: | 1619625100 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AFFIRMING CONNECTIONS THERAPY PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 OREGON AVE STE 111 | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984097461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2533025236 | ||||||||
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| Practice Location | |||||||||
| Address1: | 15 OREGON AVE STE 111 | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984097461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2533025236 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2022 | ||||||||
| LastUpdateDate: | 03/14/2022 | ||||||||
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| AuthorizedOfficialLastName: | GRECO | ||||||||
| AuthorizedOfficialFirstName: | JENNIFER | ||||||||
| AuthorizedOfficialMiddleName: | PAUL | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2532790575 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LMFT,MHC | ||||||||
| NPICertificationDate: | 03/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.