| Agape Center, Llc | |
|
3400 Se Macy Rd Ste 28 Bentonville AR 72712-7841 | |
| (479) 321-2818 | |
| (479) 358-1448 |
| Full Name | Agape Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3400 Se Macy Rd Ste 28, Bentonville, Arkansas |
| Authorized Official Name and Position | Corretta C Woodard (OWNER/CLINICIAN) |
| Authorized Official Contact | 4793212818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Center, Llc Po Box 1023 Bentonville AR 72712-1023 Ph: (479) 321-2818 | Agape Center, Llc 3400 Se Macy Rd Ste 28 Bentonville AR 72712-7841 Ph: (479) 321-2818 |
| NPI Number | 1437801164 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437801164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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