Affect Therapeutics INC
Clinic/Center, Rehabilitation, Substance Use Disorder in Charlottesville, Virginia
1104402064- Practice location
- 1001 Research Park Blvd Ste 100, Charlottesville, VA 22911-5848
- Phone
- 845-769-8758
- Fax
- —
- Last updated
- August 20, 2026
Affect Therapeutics INC is a healthcare organization based in Charlottesville, VA. The NPI number for Affect Therapeutics INC is 1104402064. The current practice location address is 1001 Research Park Blvd Ste 100, Charlottesville, VA 22911-5848 and the office can be reached by phone at 845-769-8758. The NPI was assigned on March 22, 2021 and the record was last updated in NPPES on August 20, 2026.
●Provider Profile Details
- NPI Number
- 1104402064
- Provider Name
- Affect Therapeutics INC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Karla Renee Mullings, CADC LLL · Director Of Compliance · 323-522-2218
- Enumeration Date
- March 22, 2021
- Last Update Date
- August 20, 2026
- Certification Date
- August 20, 2026
- NPI Status
- Active
- Other Names
- Affect Therapeutics (Doing Business As)
◉Business Practice Location Address
- Address
- 1001 Research Park Blvd Ste 100
Charlottesville, VA 22911-5848 - City
- Charlottesville
- State
- Virginia
- ZIP
- 22911-5848
- Country
- US
- Phone Number
- 845-769-8758
✉Business Mailing Address
- Address
- Po Box 96634
Phoenix, AZ 85072-6634 - City
- Phoenix
- State
- AZ
- ZIP
- 85072-6634
- Phone Number
- 845-769-8758
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) 193400000X - Multiple Single Specialty Group | 101YA0400X | No | — | — |
| Counselor, Professional 193400000X - Multiple Single Specialty Group | 101YP2500X | No | — | — |
| Social Worker, Clinical 193400000X - Multiple Single Specialty Group | 1041C0700X | No | — | — |
| Registered Nurse 193400000X - Multiple Single Specialty Group | 163W00000X | No | — | — |
| Psychiatry & Neurology, Addiction Medicine 193400000X - Multiple Single Specialty Group | 2084A0401X | No | — | — |
| Clinic/Center, Community Health | 261QC1500X | No | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | No | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | No | — | — |
| Clinic/Center, Rehabilitation, Substance Use Disorder | 261QR0405X | Yes | — | — |
| Nurse Practitioner, Community Health 193400000X - Multiple Single Specialty Group | 363LC1500X | No | — | — |
| Nurse Practitioner, Psych/Mental Health 193400000X - Multiple Single Specialty Group | 363LP0808X | No | — | — |
#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 Charlottesville →?Frequently Asked Questions
What is the NPI number of Affect Therapeutics INC?
The NPI number of Affect Therapeutics INC is 1104402064. It was assigned on March 22, 2021 and is currently active in the NPPES registry.
What is the specialty of Affect Therapeutics INC?
Affect Therapeutics INC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X).
Where does Affect Therapeutics INC practice?
The practice location is 1001 Research Park Blvd Ste 100, Charlottesville, VA 22911-5848. 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 1104402064 directly on the NPPES registry website at npiregistry.cms.hhs.gov.