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

Affect Provider Group, PSC

Organization Mental Health Counselor · NPI 1538050661

Affect Provider Group, PSC is a Mental Health Counselor in Ballwin, Missouri. 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.

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Practice location Address checks out

13975 Manchester Rd Ste 2
Ballwin, MO 63011-4500
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 number1538050661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Mullings — Director Of Compliance · (845) 768-8758
Other names Affect
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address1640 Boro Pl Fl 4, Mc Lean, VA 22102-3627

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