Affect Provider Group, P.s.c.
Social Worker, Clinical in Tyler, Texas
1043147549- Practice location
- 3800 Paluxy Dr Ste 404, Tyler, TX 75703-1617
- Phone
- 845-769-8758
- Fax
- —
- Last updated
- August 13, 2026
Affect Provider Group, P.s.c. is a healthcare organization based in Tyler, TX. The NPI number for Affect Provider Group, P.s.c. is 1043147549. The current practice location address is 3800 Paluxy Dr Ste 404, Tyler, TX 75703-1617 and the office can be reached by phone at 845-769-8758. The NPI was assigned on May 7, 2026 and the record was last updated in NPPES on August 13, 2026.
●Provider Profile Details
- NPI Number
- 1043147549
- Provider Name
- Affect Provider Group, P.s.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Karl Renee Mullings · Director Of Compliance · 951-691-9101
- Enumeration Date
- May 7, 2026
- Last Update Date
- August 13, 2026
- Certification Date
- August 13, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3800 Paluxy Dr Ste 404
Tyler, TX 75703-1617 - City
- Tyler
- State
- Texas
- ZIP
- 75703-1617
- Country
- US
- Phone Number
- 845-769-8758
✉Business Mailing Address
- Address
- Po Box 96635
Phoenix, AZ 85072-6635 - City
- Phoenix
- State
- AZ
- ZIP
- 85072-6635
- Phone Number
- 845-769-8758
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor 193200000X - Multi-Specialty Group | 101Y00000X | No | — | — |
| Counselor, Mental Health 193200000X - Multi-Specialty Group | 101YM0800X | No | — | — |
| Counselor, Professional 193200000X - Multi-Specialty Group | 101YP2500X | No | — | — |
| Social Worker, Clinical 193200000X - Multi-Specialty Group | 1041C0700X | Yes | — | — |
| Marriage & Family Therapist 193200000X - Multi-Specialty Group | 106H00000X | No | — | — |
| Nurse Practitioner, Psych/Mental Health 193200000X - Multi-Specialty Group | 363LP0808X | No | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Tyler, TX
View all providers in Tyler →?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 1043147549. It was assigned on May 7, 2026 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 Social Worker, Clinical (code 1041C0700X).
Where does Affect Provider Group, P.s.c. practice?
The practice location is 3800 Paluxy Dr Ste 404, Tyler, TX 75703-1617. 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 1043147549 directly on the NPPES registry website at npiregistry.cms.hhs.gov.