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AGAPE RECOVERY CENTER NPI 1669833760


NPI Information

NPI: 1669833760
Provider Name: AGAPE RECOVERY CENTER

Doing Business As: AGAPE RECOVERY CENTER, PLLC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
8338 NC HIGHWAY 39 S
HENDERSON, NC
ZIP 27537
Phone: (919) 538-5459
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AGAPE RECOVERY CENTER is a clinical social worker in Henderson, NC. The provider is a 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. AGAPE RECOVERY CENTER NPI is 1669833760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Agape Recovery Center, Pllc.

The provider's business location address is:

8338 NC HIGHWAY 39 S
HENDERSON, NC
ZIP 27537-132
Phone: (919) 538-5459

The provider's authorized official is Evangeline D. Matthews .
The authorized official title is Owner/therapist and has the following contact phone number (919) 538-5459.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 12/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalC009632NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C009362OTHERNORTH CAROLINALCSW LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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