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Organization
AFFECT THERAPEUTICS, INC.
Active
Organization
AFFECT THERAPEUTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA RENEE MULLINGS (DIRECTOR CLINICAL COMPLIANCE)
(323) 522-2218
Entity
Organization
Contact information
Practice address
1217 3RD ST S STE 109, NAMPA, ID 83651-3917
(845) 769-8758
Mailing address
520 BROADWAY FL 4, NEW YORK, NY 10012-4436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/25/2022
Last updated
08/14/2025
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