AGAPE SERVICES INC NPI 1134443351

NPI Information

NPI: 1134443351
Provider Name: AGAPE SERVICES INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
806 CIRCLE DR
MONROE, NC
ZIP 28112
Phone: (704) 225-0584
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AGAPE SERVICES INC is a professional counselor in Monroe, NC. AGAPE SERVICES INC NPI is 1134443351. The provider is registered as an organization entity type.

The provider's business location address is:

806 CIRCLE DR
MONROE, NC
ZIP 28112-800
Phone: (704) 225-0584
Fax: (704) 225-1479

The provider's authorized official is William Jeffery Massey .
The authorized official title is Ceo and has the following contact phone number (704) 225-0584.

The enumeration date for this NPI number is 3/17/2010 and was last updated on 5/12/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		5901922	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	5212	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5916011	MEDICAID	NORTH CAROLINA
2	6005849	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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