Organization · Type 2 NPI
Affect Provider Group P.s.c.
Mental Health Counselor · Indianapolis, IN
NPI number
1508748203
Active
Practice location
863 Massachusetts Ave Ofc 220
Indianapolis, IN 46204-1610
Mailing address
1640 Boro Pl Fl 4
Mc Lean, VA 22102-3627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | 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 1508748203
Affect Provider Group P.s.c.'s National Provider Identifier is 1508748203, issued on Jul 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 23, 2025.