Organization · NPI-2
Affect Therapeutics INC
Clinic/Center, Rehabilitation, Substance Use Disorder · Charlottesville, VA
NPI number1104402064
StatusActive
Last updated in NPPESAug 20, 2026
Details
- NPI
- 1104402064
- Entity type
- Organization (NPI-2)
- Legal business name
- Affect Therapeutics INC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2021
- Certification date
- Aug 20, 2026
- Last updated
- Aug 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 163W00000X | Registered Nurse | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 363LC1500X | Nurse Practitioner, Community Health | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Other names
- Affect Therapeutics (Doing Business As)
Practice location
1001 Research Park Blvd Ste 100Charlottesville, VA 22911-5848
Phone 845-769-8758
Mailing address
Po Box 96634Phoenix, AZ 85072-6634
Phone 845-769-8758
Other practice locations
6282 Dupont Station Ct E Ofc A
Jacksonville, FL 32217-2515
Jacksonville, FL 32217-2515
Phone 845-769-8758
15405 Sw 116th Ave Ste 124
King City, OR 97224-4103
King City, OR 97224-4103
Phone 845-769-8758
3800 Paluxy Dr Ste 404
Tyler, TX 75703-1617
Tyler, TX 75703-1617
Phone 845-769-8758 · Fax 202-964-6533
507 Richland Ave Ste 105
Athens, OH 45701-3700
Athens, OH 45701-3700
Phone 845-769-8758
8880 E Speedway Blvd Ste 203
Tucson, AZ 85710-1712
Tucson, AZ 85710-1712
Phone 845-769-8758
13975 Manchester Rd Ste 2
Ballwin, MO 63011-4500
Ballwin, MO 63011-4500
Phone 845-769-8758
863 Massachusetts Ave Ofc 220
Indianapolis, IN 46204-1610
Indianapolis, IN 46204-1610
Phone 845-769-8758
1112 Daniels St Bsmt Suite
Vancouver, WA 98660-2954
Vancouver, WA 98660-2954
Phone 845-769-8758
1397 Galleria Dr Ste 203
Henderson, NV 89014-6659
Henderson, NV 89014-6659
Phone 845-769-8758
3550 Watt Ave Ste 140
Sacramento, CA 95821-2666
Sacramento, CA 95821-2666
Phone 845-769-8758
Authorized official
Karla Renee Mullings
Director Of Compliance
3235222218
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