Affect Provider Group, P.s.c.
Community/Behavioral Health in Archdale, North Carolina
1710619580- Practice location
- 313 Trindale RD # A, Archdale, NC 27263-3800
- Phone
- 845-769-8758
- Fax
- 888-398-1839
- Last updated
- August 14, 2026
Affect Provider Group, P.s.c. is a healthcare organization based in Archdale, NC. The NPI number for Affect Provider Group, P.s.c. is 1710619580. The current practice location address is 313 Trindale RD # A, Archdale, NC 27263-3800 and the office can be reached by phone at 845-769-8758 and by fax at 888-398-1839. The NPI was assigned on June 29, 2022 and the record was last updated in NPPES on August 14, 2026.
●Provider Profile Details
- NPI Number
- 1710619580
- Provider Name
- Affect Provider Group, P.s.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Karla Renee Mullings · Director Of Compliance · 845-768-8758
- Enumeration Date
- June 29, 2022
- Last Update Date
- August 14, 2026
- Certification Date
- August 14, 2026
- NPI Status
- Active
- Other Names
- Affect Provider Group, P.c. (Doing Business As)
Affect Therapeutics (Doing Business As)
◉Business Practice Location Address
- Address
- 313 Trindale RD # A
Archdale, NC 27263-3800 - City
- Archdale
- State
- North Carolina
- ZIP
- 27263-3800
- Country
- US
- Phone Number
- 845-769-8758
- Fax Number
- 888-398-1839
✉Business Mailing Address
- Address
- Po Box 96635
Phoenix, AZ 85072-6635 - City
- Phoenix
- State
- AZ
- ZIP
- 85072-6635
- Phone Number
- 845-769-8785
- Fax Number
- 888-398-1839
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Behavioral Health | 251S00000X | Yes | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | No | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | No | — | — |
| Clinic/Center, Rehabilitation, Substance Use Disorder | 261QR0405X | No | — | — |
| Substance Abuse Rehabilitation Facility | 324500000X | No | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Archdale, NC
View all providers in Archdale →?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 1710619580. It was assigned on June 29, 2022 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 Community/Behavioral Health (code 251S00000X).
Where does Affect Provider Group, P.s.c. practice?
The practice location is 313 Trindale RD # A, Archdale, NC 27263-3800. The office can be reached at 845-769-8758 (phone) or 888-398-1839 (fax).
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 1710619580 directly on the NPPES registry website at npiregistry.cms.hhs.gov.