Affect Provider Group P.s.c. | |
1640 Boro Pl Ofc 437 Mc Lean VA 22102-3626 | |
(845) 769-8758 | |
Not Available |
Full Name | Affect Provider Group P.s.c. |
---|---|
Speciality | Counselor - Mental Health |
Location | 1640 Boro Pl Ofc 437, Mc Lean, Virginia |
Authorized Official Name and Position | Karla Renee Mullings (DIRECTOR OF COMPLIANCE) |
Authorized Official Contact | 8457688758 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Affect Provider Group P.s.c. 1640 Boro Pl Fl 4 Mc Lean VA 22102-3627 Ph: (845) 769-8758 | Affect Provider Group P.s.c. 1640 Boro Pl Ofc 437 Mc Lean VA 22102-3626 Ph: (845) 769-8758 |
NPI Number | 1033001656 |
---|---|
Provider Enumeration Date | 07/17/2025 |
Last Update Date | 07/17/2025 |
Certification Date | 07/17/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033001656 | NPI | - | NPPES |
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