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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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