| Affect Provider Group P.S.C. | |
|
2 Logan Sq Ste 300 Philadelphia PA 19103-2733 | |
| (845) 769-8758 | |
| Not Available |
| Full Name | Affect Provider Group P.S.C. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2 Logan Sq Ste 300, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Karla Renee Mullings (DIR. 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) 769-8759 | Affect Provider Group P.S.C. 2 Logan Sq Ste 300 Philadelphia PA 19103-2733 Ph: (845) 769-8758 |
| NPI Number | 1093676538 |
|---|---|
| Provider Enumeration Date | 11/24/2025 |
| Last Update Date | 04/16/2026 |
| Certification Date | 04/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093676538 | NPI | - | NPPES |
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