Affect Provider Group, P.S.C.
Organization Active NPI Mental Health Counselor · Knoxville, TN
NPI 1386526663 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1386526663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- AFFECT PROVIDER GROUP, P.S.C.
- Practice address
- 200 Prosperity Dr Ste 205a
Knoxville, TN 37923-4718 - Phone
- (845) 769-8758
- NPI assigned
- Jul 25, 2025
- Organization subpart
- No
Authorized official
- Name
- Karla Renee Mullings
- Title
- Director of Compliance
- Phone
- (845) 768-8758
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Affect
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Professional Counselor |
101YP2500X | |||
| Counseling Psychologist |
103TC1900X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Addiction (Substance Use Disorder) Registered Nurse |
163WA0400X | |||
| Psychiatric/Mental Health Registered Nurse |
163WP0808X | |||
| Adult Health Nurse Practitioner |
363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
200 Prosperity Dr Ste 205a
Knoxville, TN 37923-4718
Mailing address
1640 Boro PL FL 4
MC Lean, VA 22102-3627
Phone (845) 769-8758
Other names
- Affect
Other providers in Knoxville, TN
- Adventa Hospice, LLC
- Lora Joy Adzima
- Aeris Healthcare, LLC
- Aesthetic Elevation Knoxville, LLC
- Afc Physicians of Tennessee, PC
- After Hours Pediatrics of Tennessee PC
- Agape Home Services Inc
- Agape, Incorporated
- Andre Matthew Agassi
- Ronda Agee
All providers in Knoxville, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.