AFFECT PROVIDER GROUP, P.S.C.

BALLWIN, MO
NPI1538050661
Other NameAFFECT
Entity TypeOrganization
Authorized ContactKARLA RENEE MULLINGS
Director Of Compliance
845-768-8758
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
101YP2500X Counselor, Professional
1041C0700X Social Worker, Clinical
Enumeration Date2025-07-15
Last Update Date2025-07-15
Business Address
AFFECT PROVIDER GROUP, P.S.C.
13975 MANCHESTER RD STE 2
BALLWIN, MO 63011-4500
Phone number: 845-769-8758
Mailing Address
AFFECT PROVIDER GROUP, P.S.C.
1640 BORO PL FL 4
MC LEAN, VA 22102-3627
Phone number: 845-769-8758