AFFECT PROVIDER GROUP P.S.C.

NAMPA, ID
NPI1558243527
Doing Business AsAFFECT
Entity TypeOrganization
Authorized ContactKARLA RENEE MULLINGS
Director Of Compliance
845-768-8758
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YP2500X Counselor, Professional
1041C0700X Social Worker, Clinical
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-07-22
Last Update Date2025-07-22
Business Address
AFFECT PROVIDER GROUP P.S.C.
1217 3RD ST S STE 100
NAMPA, ID 83651-1003
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