AFFECT PROVIDER GROUP P.S.C. NPI 1902795255

NPI Information

  • NPI: 1902795255
  • Provider Name: AFFECT PROVIDER GROUP, P.S.C.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 3209 S BROADWAY STE 229
    EDMOND, OK
    ZIP 73013
  • Phone: (845) 769-8758

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NPI Details

AFFECT PROVIDER GROUP, P.S.C. is a mental health counselor in Edmond, OK. AFFECT PROVIDER GROUP, P.S.C. NPI is 1902795255. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3209 S BROADWAY STE 229
EDMOND, OK
ZIP 73013-064
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 7/1/2025 and was last updated on 7/1/2025.

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
1103T00000XPsychologistNo
2163WP0809XRegistered NursePsychiatric/Mental Health, AdultNo
3103TC0700XPsychologistClinicalNo
4104100000XSocial WorkerNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
7101YM0800XCounselorMental HealthYes

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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