Organization · NPI-2

Affect Provider Group P.S.C.

Counselor, Mental Health · Wilmington, DE

NPI number1922986041

StatusActive

Last updated in NPPESAug 20, 2026

Details

NPI: 1922986041
Entity type: Organization (NPI-2)
Legal business name: Affect Provider Group P.S.C.
Organization subpart: No
Enumeration date: Aug 26, 2025
Certification date: Aug 20, 2026
Last updated: Aug 20, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
101YP2500X	Counselor, Professional	–	–
103T00000X	Psychologist	–	–
103TC0700X	Psychologist, Clinical	–	–
1041C0700X	Social Worker, Clinical	–	–
106H00000X	Marriage & Family Therapist	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Other names

Affect (Doing Business As)

Practice location

901 N Market St Ste 100
Wilmington, DE 19801-3022

Phone 845-769-8758

Mailing address

Po Box 96634
Phoenix, AZ 85072-6634

Phone 845-769-8758

Other practice locations

3800 Paluxy Dr Ste 404
Tyler, TX 75703-1617

Phone 323-522-2218

Authorized official

Karla Renee Mullings
Director Of Compliance
8457688758

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