Affect Provider Group PSC
Affect Provider Group PSC is a Mental Health Counselor in Salt Lake City, Utah. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 4
What do these letters mean?
- PSC — Professional service corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10 W Broadway Fl 7Salt Lake City, UT 84101-2060
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 |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X |
| Clinical Social Worker | Taxonomy 1041C0700X |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1417849548 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karla Mullings — Director Of Compliance · (845) 768-8758 |
| Other names | Affect |
| NPI enumerated | July 15, 2025 |
| Last updated in NPPES | July 15, 2025 |
| Certification date | July 15, 2025 |
| Mailing address | 1640 Boro Pl Fl 4, Mc Lean, VA 22102-3627 |
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