NPI age
— years
Enumerated 2025-07-22
● Active Type 2 · Organization
Affect Provider Group P.s.c.
Affect Provider Group P.s.c. is 1 of 1998 counselor organizations in Idaho.
Primary specialty
Counselor
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mullings
Director Of Compliance
Last NPPES update
2025-07-22
Source: monthly bulk 2026-05
How this organization compares
Across 1998 active counselor providers in Idaho.
NPI age
0 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 21% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-07Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1217 3rd St S Ste 100
Nampa, ID 836511003
Mailing address
1640 Boro Pl Fl 4
Mc Lean, VA 221023627
Authorized official
Karla Renee Mullings
Director Of Compliance
📞 8457688758
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorDefinition to come...
-
Nurse PractitionerDefinition to come...
-
Social WorkerA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Affect
Practice context
Single-site organization. Only one practice location on file.
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