AGAPE CENTER LLC NPI 1437801164

NPI Information

NPI: 1437801164
Provider Name: AGAPE CENTER, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3400 SE MACY RD STE 28
BENTONVILLE, AR
ZIP 72712
Phone: (479) 321-2818
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AGAPE CENTER, LLC is a professional counselor in Bentonville, AR. AGAPE CENTER, LLC NPI is 1437801164. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SE MACY RD STE 28
BENTONVILLE, AR
ZIP 72712-841
Phone: (479) 321-2818
Fax: (479) 358-1448

The provider's authorized official is Corretta C Woodard .
The authorized official title is Owner/clinician and has the following contact phone number (479) 321-2818.

The enumeration date for this NPI number is 1/24/2022 and was last updated on 2/28/2022.

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
1	101YP2500X	Counselor	Professional			Yes

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

NPI Synchronization or Removal

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