Organization · Type 2 NPI

Affect Provider Group P.s.c.

Mental Health Counselor · Boston, MA

NPI number 1689554362 Active

Practice location

90 Canal St Ste 4
Boston, MA 02114-2022

Call (845) 769-8758 Map

Mailing address

PO Box 96635
Phoenix, AZ 85072-6635

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689554362

Affect Provider Group P.s.c.'s National Provider Identifier is 1689554362, issued on Sep 4, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Aug 20, 2026.