Healthcare Provider Details

I. General information

NPI: 1427970193
Provider Name (Legal Business Name): AFFECT HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 S MADISON ST STE D
WEBB CITY MO
64870-3044
US

IV. Provider business mailing address

23525 KAFIR RD
ORONOGO MO
64855-7111
US

V. Phone/Fax

Practice location:
  • Phone: 417-396-3511
  • Fax:
Mailing address:
  • Phone: 417-396-3511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC RICHARD THOMASON
Title or Position: FOUNDER
Credential: PMHNP, MBA
Phone: 417-396-3511