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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
127 S 1ST ST STE 205, GENEVA, IL 60134-2644
(845) 769-8758
Mailing address
PO BOX 96634, PHOENIX, AZ 85072-6634

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103TC1900X
Counseling Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
07/14/2025
Last updated
08/13/2026
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