Wellformed AI

NPI 1922986041 · live from the CMS NPI Registry

Affect Provider Group P.S.C.

Counselor, Mental Health in Wilmington, DE. National Provider Identifier 1922986041, active.

NPI record

NPI1922986041 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location901 N Market St Ste 100, Wilmington, DE 19801
Practice phone845-769-8758
Mailing addressPo Box 96634, Phoenix, AZ 85072
EnumeratedAugust 26, 2025
Last updatedAugust 20, 2026
Authorized officialKarla Mullings, Director Of Compliance
Other namesAffect

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health primary101YM0800X—
Counselor, Professional101YP2500X—
Psychologist103T00000X—
Psychologist, Clinical103TC0700X—
Social Worker, Clinical1041C0700X—
Marriage & Family Therapist106H00000X—
Nurse Practitioner, Psych/Mental Health363LP0808X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.