Organization · NPI-2

Affect Therapeutics, INC.

Counselor, Mental Health · Nampa, ID

NPI number1033857453

StatusActive

Last updated in NPPESNov 6, 2026

Details

NPI: 1033857453
Entity type: Organization (NPI-2)
Legal business name: Affect Therapeutics, INC.
Organization subpart: No
Enumeration date: May 25, 2022
Certification date: Nov 6, 2026
Last updated: Nov 6, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YP2500X	Counselor, Professional	–	–
1041C0700X	Social Worker, Clinical	–	–
106H00000X	Marriage & Family Therapist	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
363L00000X	Nurse Practitioner	–	–
363LA2200X	Nurse Practitioner, Adult Health	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Practice location

1217 3rd St S Ste 109
Nampa, ID 83651-3917

Phone 845-769-8758

Mailing address

Po Box 96634
Phoenix, AZ 85072-6634

Authorized official

Karla Renee Mullings
Director Clinical Compliance
3235222218

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