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
3209 S BROADWAY STE 229, EDMOND, OK 73013-4064
(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
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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