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 1093676538

Affect Provider Group PSC is a Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
7
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

2 Logan Sq Ste 300
Philadelphia, PA 19103-2733
Phone: (845) 769-8758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1093676538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Mullings — Dir. Of Compliance · (845) 768-8758
NPI enumeratedNovember 24, 2025
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address1640 Boro Pl Fl 4, Mc Lean, VA 22102-3627

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