Organization · Type 2 NPI

Affect Provider Group P.s.c.

Mental Health Counselor · Philadelphia, PA

NPI number 1093676538 Active

Practice location

2 Logan Sq Ste 300
Philadelphia, PA 19103-2733

Call (845) 769-8758 Map

Mailing address

1640 Boro Pl Fl 4
Mc Lean, VA 22102-3627

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor Primary	101YM0800X	None listed
Professional Counselor	101YP2500X	None listed
Social Worker	104100000X	None listed
Clinical Social Worker	1041C0700X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1093676538

Affect Provider Group P.s.c.'s National Provider Identifier is 1093676538, issued on Nov 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 16, 2026.