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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 (DIRECTOR OF COMPLIANCE)
(845) 768-8758
Entity
Organization
Contact information
Practice address
313C TRINDALE RD STE 205, ARCHDALE, NC 27263-2751
(845) 769-8758
Mailing address
PO BOX 96635, PHOENIX, AZ 85072-6635
(845) 769-8758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
NULL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/18/2025
Last updated
08/14/2026
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