Organization · Type 2 NPI

Affect Provider Group, P.s.c.

Substance Use Disorder Rehabilitation Clinic/Center · Danville, KY

NPI number 1326799081 Active

Practice location

116 N 3rd St Ste 3
Danville, KY 40422-1691

Call (845) 769-8758 Map

Other practice locations

2 Logan Sq Ste 300, Philadelphia, PA 19103-2733 · (845) 769-8758

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center	261QM0850X	None listed
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1326799081
Entity type: Organization (Type 2)
Issued: Jan 14, 2022
Last updated: Aug 25, 2026
Status: Active

Other names

<unavail>
Affect Provider Group · doing business as
Affect Provider Group, P.c. · doing business as
Affect Provider Group, P.c. · doing business as

Authorized official

Karla Renee Mullings
Director of Compliance
(845) 768-8758

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1326799081

Affect Provider Group, P.s.c.'s National Provider Identifier is 1326799081, issued on Jan 14, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Danville, KY. The record was last updated on Aug 25, 2026.