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AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS NPI 1265161053


NPI Information

NPI: 1265161053
Provider Name: AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5536 OLD NATIONAL HWY STE 100
COLLEGE PARK, GA
ZIP 30349
Phone: (404) 564-6486
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AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS is a multi-specialty clinic center in College Park, GA. AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS NPI is 1265161053. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5536 OLD NATIONAL HWY STE 100
COLLEGE PARK, GA
ZIP 30349-181
Phone: (404) 564-6486
Fax: (404) 564-6487

The provider's authorized official is Aisha Frazier .
The authorized official title is Administrative Assistant and has the following contact phone number (404) 564-6486.

The enumeration date for this NPI number is 6/7/2022 and was last updated on 6/7/2022.


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
1101Y00000XCounselorNo
2103TB0200XPsychologistCognitive & BehavioralNo
3103TP2701XPsychologistGroup PsychotherapyNo
41041C0700XSocial WorkerClinicalNo
5251B00000XCase ManagementNo
6251S00000XCommunity/Behavioral HealthNo
7261QC1500XClinic/CenterCommunity HealthNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
10261QM1300XClinic/CenterMulti-SpecialtyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.