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Affect Provider Group P.s.c. — NPI 1508748203, Indianapolis, IN | NPI Central

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NPI 1508748203

OrganizationActive

Affect Provider Group P.s.c.

NPI 1508748203 · Mental Health Counselor · Indianapolis, IN

Provider details

NPI number: 1508748203
Entity type: Organization
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Karla Mullings, Director of Compliance(845) 768-8758

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers
Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Psychiatric/Mental Health Nurse Practitioner363LP0808X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

863 Massachusetts Ave Ofc 220

Indianapolis, IN 46204-1610

Phone: (845) 769-8758

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

1640 Boro Pl Fl 4

Mc Lean, VA 22102-3627

Other names (DBA / former)

Doing business as: Affect

Registry dates

Enumerated: 2025-07-23
Last updated: 2025-07-23
Certified: 2025-07-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.