Organization
AFFECT PROVIDER GROUP, P.S.C.
Active
Other names
Affect Therapeutics, Affect Provider Group, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA RENEE MULLINGS (DIRECTOR OF COMPLIANCE)
(845) 768-8758
Entity
Organization
Contact information
Practice address
313 TRINDALE RD # A, ARCHDALE, NC 27263-3800
(845) 769-8758
(888) 398-1839
Mailing address
116 N 3RD ST STE 3, DANVILLE, KY 40422-1691
(845) 769-8785
(888) 398-1839
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/29/2022
Last updated
05/10/2024
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