Organization
AFFECT PROVIDER GROUP, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA RENEE MULLINGS (SECRETARY)
(845) 768-8758
Entity
Organization
Contact information
Practice address
12410 MILESTONE CENTER DR OFC 670, GERMANTOWN, MD 20876-7101
(845) 769-8758
Mailing address
PO BOX 96635, PHOENIX, AZ 85072-6635
(845) 769-8758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/24/2025
Last updated
08/20/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up