| Affect Therapeutics, Inc. | |
|
1217 3rd St S Ste 109 Nampa ID 83651-3917 | |
| (845) 769-8758 | |
| Not Available |
| Full Name | Affect Therapeutics, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1217 3rd St S Ste 109, Nampa, Idaho |
| Authorized Official Name and Position | Karla Renee Mullings (DIRECTOR CLINICAL COMPLIANCE) |
| Authorized Official Contact | 3235222218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affect Therapeutics, Inc. 520 Broadway Fl 4 New York NY 10012-4436 Ph: () - | Affect Therapeutics, Inc. 1217 3rd St S Ste 109 Nampa ID 83651-3917 Ph: (845) 769-8758 |
| NPI Number | 1033857453 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033857453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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