# AFFECT PROVIDER GROUP P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801788286
- **Authorized official:** KARLA RENEE MULLINGS (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (845) 768-8758

## Contact information

- **Practice address:** 313C TRINDALE RD STE 205, ARCHDALE, NC 27263-2751
- **Practice address phone:** (845) 769-8758
- **Mailing address:** PO BOX 96635, PHOENIX, AZ 85072-6635
- **Mailing address phone:** (845) 769-8758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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