Organization · Type 2 NPI

Affect Provider Group P.s.c.

Mental Health Counselor · New Berlin, WI

NPI number 1114809274 Active

Practice location

2385 S 179th St Ste C
New Berlin, WI 53146-2130

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

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About NPI 1114809274

Affect Provider Group P.s.c.'s National Provider Identifier is 1114809274, issued on Jul 21, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Berlin, WI. The record was last updated on Jul 21, 2025.