Active NPIOrganization

Affect Provider Group P.s.c.

Counselor, Mental Health in Vancouver, Washington

NPI Number1689556318
Practice location
1112 Daniels St Bsmt Suite, Vancouver, WA 98660-2954
Fax
—
Last updated
November 6, 2026

Affect Provider Group P.s.c. is a healthcare organization based in Vancouver, WA. The NPI number for Affect Provider Group P.s.c. is 1689556318. The current practice location address is 1112 Daniels St Bsmt Suite, Vancouver, WA 98660-2954 and the office can be reached by phone at 845-769-8758. The NPI was assigned on July 23, 2025 and the record was last updated in NPPES on November 6, 2026.

●Provider Profile Details

NPI Number
1689556318
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 · Director Of Compliance · 845-768-8758
Enumeration Date
July 23, 2025
Last Update Date
November 6, 2026
Certification Date
November 6, 2026
NPI Status
Active
Other Names
Affect (Doing Business As)

◉Business Practice Location Address

Address
1112 Daniels St Bsmt Suite
Vancouver, WA 98660-2954
ZIP
98660-2954
Country
US
Phone Number
845-769-8758

Get directions →

✉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

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health
193200000X - Multi-Specialty Group
101YM0800XYes——
Counselor, Professional
193200000X - Multi-Specialty Group
101YP2500XNo——
Social Worker, Clinical
193200000X - Multi-Specialty Group
1041C0700XNo——
Nurse Practitioner, Psych/Mental Health
193200000X - Multi-Specialty Group
363LP0808XNo——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?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 1689556318. It was assigned on July 23, 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 1112 Daniels St Bsmt Suite, Vancouver, WA 98660-2954. 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 1689556318 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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