Affect Provider Group P.s.c.
Counselor, Mental Health in Philadelphia, Pennsylvania
1093676538- Practice location
- 2 Logan Sq Ste 300, Philadelphia, PA 19103-2733
- Phone
- 845-769-8758
- Fax
- —
- Last updated
- April 16, 2026
Affect Provider Group P.s.c. is a healthcare organization based in Philadelphia, PA. The NPI number for Affect Provider Group P.s.c. is 1093676538. The current practice location address is 2 Logan Sq Ste 300, Philadelphia, PA 19103-2733 and the office can be reached by phone at 845-769-8758. The NPI was assigned on November 24, 2025 and the record was last updated in NPPES on April 16, 2026.
●Provider Profile Details
- NPI Number
- 1093676538
- Provider Name
- Affect Provider Group P.s.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Karla Renee Mullings · Dir. Of Compliance · 845-768-8758
- Enumeration Date
- November 24, 2025
- Last Update Date
- April 16, 2026
- Certification Date
- April 16, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2 Logan Sq Ste 300
Philadelphia, PA 19103-2733 - City
- Philadelphia
- State
- Pennsylvania
- ZIP
- 19103-2733
- Country
- US
- Phone Number
- 845-769-8758
✉Business Mailing Address
- Address
- 1640 Boro Pl Fl 4
Mc Lean, VA 22102-3627 - City
- Mc Lean
- State
- VA
- ZIP
- 22102-3627
- Phone Number
- 845-769-8759
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor 193200000X - Multi-Specialty Group | 101Y00000X | No | — | — |
| Social Worker, Clinical 193200000X - Multi-Specialty Group | 1041C0700X | No | — | — |
| Nurse Practitioner, Psych/Mental Health 193200000X - Multi-Specialty Group | 363LP0808X | No | — | — |
| Counselor, Addiction (Substance Use Disorder) 193200000X - Multi-Specialty Group | 101YA0400X | No | — | — |
| Social Worker 193200000X - Multi-Specialty Group | 104100000X | No | — | — |
| Counselor, Professional 193200000X - Multi-Specialty Group | 101YP2500X | No | — | — |
| Counselor, Mental Health 193200000X - Multi-Specialty Group | 101YM0800X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Philadelphia →?Frequently Asked Questions
What is the NPI number of Affect Provider Group P.s.c.?
The NPI number of Affect Provider Group P.s.c. is 1093676538. It was assigned on November 24, 2025 and is currently active in the NPPES registry.
What is the specialty of Affect Provider Group P.s.c.?
Affect Provider Group P.s.c. is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Affect Provider Group P.s.c. practice?
The practice location is 2 Logan Sq Ste 300, Philadelphia, PA 19103-2733. The office can be reached at 845-769-8758 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093676538 directly on the NPPES registry website at npiregistry.cms.hhs.gov.