AFFECT THERAPEUTICS INC
NPI 1104402064
Clinic/Center - Rehabilitation, Substance Use Disorder in Mc Lean, VA

Q: What is Affect Therapeutics Inc's NPI number?

The NPI number for Affect Therapeutics Inc is 1104402064. It was assigned to this organization in the NPPES registry on March 22, 2021. The provider is doing business as Affect Therapeutics.

Q: What is Affect Therapeutics Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since March 22, 2021CLIA Certified · 2 labs

1640 BORO PL FL 4, MC LEAN, VA 22102(845) 769-8758 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Apr 11, 2023, Mar 16, 2023 and 4 more (7 updates tracked since 2021).

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About Affect Therapeutics Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AFFECT THERAPEUTICS INC (NPI 1104402064), doing business as Affect Therapeutics, is a healthcare organization registered as a rehabilitation, substance use disorder in Mc Lean, Virginia and active in the NPI registry since March 2021. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Karla Renee Mullings, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1104402064

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameAFFECT THERAPEUTICS INC

Location Address1640 BORO PL FL 4Mc Lean, VA 22102-3627

Mailing Address1640 Boro Pl Fl 4Mc Lean, VA 22102-3627 · (845) 769-8758

Phone(845) 769-8758

Organization SubpartNo

Authorized OfficialKarla Renee MullingsDirector Of Compliance · (323) 522-2218

Enumeration DateMarch 22, 2021

Last NPPES UpdateFebruary 19, 20267 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2026

✔ NPI 1104402064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1640 BORO PL FL 4, Mc Lean, VA 22102

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Other Names 1

Doing Business AsAffect Therapeutics

Secondary Practice Locations 2

Location 1507 Richland Ave Ste 105Athens, OH 45701-3700 · Phone (845) 769-8758

Location 23800 Paluxy Dr Ste 404Tyler, TX 75703-1617 · Phone (845) 769-8758 · Fax (202) 964-6533

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter from Superior HealthPlan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2276212

Affect Therapeutics, Inc · Tyler, TX

Active · expires Feb 5, 2027

CLIA Number45D2276212

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateFebruary 6, 2025

Certificate Expiration DateFebruary 5, 2027

Laboratory DirectorRobert C. Glenn

Laboratory Phone(845) 769-8758

Laboratory LocationAffect Therapeutics, Inc3800 Paluxy Drive, Ste 404, Tyler, TX 75703

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2229775

Affect Therapeutics, Inc · Danville, KY

Active · expires Jul 15, 2027

CLIA Number18D2229775

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateJuly 16, 2025

Certificate Expiration DateJuly 15, 2027

Laboratory DirectorMs. Allison Carter

Laboratory Phone(845) 769-8758

Laboratory LocationAffect Therapeutics, Inc116 N 3rd St, Suite 3, Danville, KY 40422

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY DEHN MS LICDC-CSLCADC-CSS

Counselor (Addiction (Substance Use Disorder))