AFFECT PROVIDER GROUP P.S.C. NPI 1326799081

NPI Information

  • NPI: 1326799081
  • Provider Name: AFFECT PROVIDER GROUP, P.S.C.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: AFFECT PROVIDER GROUP, P.C.
  • CLIA Number: 24D2281099
  • Address: 116 N 3RD ST STE 3
    DANVILLE, KY
    ZIP 40422
  • Phone: (845) 769-8758

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NPI Details

AFFECT PROVIDER GROUP, P.S.C. is a rehabilitation and substance use disorder clinic center in Danville, KY. AFFECT PROVIDER GROUP, P.S.C. NPI is 1326799081. The provider is registered as an organization entity type.
The provider Is Doing Business As Affect Provider Group, P.c..

The provider's business location address is:

116 N 3RD ST STE 3
DANVILLE, KY
ZIP 40422-691
Phone: (845) 769-8758

The provider's authorized official is Karla Renee Mullings .
The authorized official title is Director Of Compliance and has the following contact phone number (845) 769-8758.

The CLIA number assigned to this NPI record is 24D2281099 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2022 and was last updated on 9/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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