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Organization
AFFECT PROVIDER GROUP, P.S.C.
Active
Organization
AFFECT PROVIDER GROUP, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA RENEE MULLINGS (DIR. OF COMPLIANCE)
(845) 768-8758
Entity
Organization
Contact information
Practice address
10 DORRANCE ST STE 712, PROVIDENCE, RI 02903-2014
(845) 769-8758
Mailing address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627
(845) 769-8758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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