AFFECT PROVIDER GROUP, P.S.C.

EDMOND, OK
NPI1902795255
Entity TypeOrganization
Authorized ContactKARLA RENEE MULLINGS
Director Of Compliance
845-768-8758
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies103T00000X Psychologist
163WP0809X Registered Nurse, Psych/Mental Health, Adult
103TC0700X Psychologist, Clinical
104100000X Social Worker
363LP0808X Nurse Practitioner, Psych/Mental Health
364SP0808X Clinical Nurse Specialist, Psych/Mental Health
Enumeration Date2025-07-01
Last Update Date2025-07-01
Business Address
AFFECT PROVIDER GROUP, P.S.C.
3209 S BROADWAY STE 229
EDMOND, OK 73013-4064
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