Affect Provider Group P.S.C.
LBN: Affect Provider Group P.S.C.
Affect Provider Group P.S.C. is an health care organization with primary practice located at 1217 3Rd St S Ste 100 , Nampa ID 83651-1003. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Affect Provider Group P.S.C. can be contacted via phone (845) 769-8758, or through Mullings, Karla Renee via phone (845) 768-8758.
Contact Information
Primary practice address
1217 3Rd St S Ste 100
Nampa ID 83651-1003
Phone: (845) 769-8758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1558243527 |
|---|---|
| LBN Legal business name | Affect Provider Group P.S.C. |
| DBA Doing business as | |
| Authorized official | Mullings, Karla Renee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2025 |
| Last updated | Jul 22nd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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