AFFECT PROVIDER GROUP P.S.C. NPI 1760373005

NPI Information

  • NPI: 1760373005
  • Provider Name: AFFECT PROVIDER GROUP, P.S.C.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 127 S 1ST ST STE 205
    GENEVA, IL
    ZIP 60134
  • Phone: (845) 769-8758

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NPI Details

AFFECT PROVIDER GROUP, P.S.C. is a professional counselor in Geneva, IL. AFFECT PROVIDER GROUP, P.S.C. NPI is 1760373005. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

127 S 1ST ST STE 205
GENEVA, IL
ZIP 60134-644
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) 768-8758.

The enumeration date for this NPI number is 7/14/2025 and was last updated on 7/14/2025.

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
1103TC1900XPsychologistCounselingNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5101YP2500XCounselorProfessionalYes

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: 11/21/2025

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