Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Affect Provider Group, PSC

Organization Counselor · NPI 1043147549

Affect Provider Group, PSC is a Counselor in Tyler, Texas. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
6
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3800 Paluxy Dr Ste 404
Tyler, TX 75703-1617
Phone: (845) 769-8758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1043147549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karl Mullings — Director Of Compliance · (951) 691-9101
NPI enumeratedMay 7, 2026
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address1640 Boro Pl Fl 4, Mc Lean, VA 22102-3627

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