Organization
AFFECT PROVIDER GROUP, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL RENEE MULLINGS (DIRECTOR OF COMPLIANCE)
(951) 691-9101
Entity
Organization
Contact information
Practice address
3800 PALUXY DR STE 404, TYLER, TX 75703-1617
(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
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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