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Contact Information

AFFECT PROVIDER GROUP P.S.C.
313C TRINDALE RD STE 205
ARCHDALE, NC27263-2751
 Phone: 845-769-8758
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for AFFECT PROVIDER GROUP PSC · (Female)

NPI Number 1801788286
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2025
Last updated 07/18/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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