| Agape Christian Counseling Services | |
|
9378 Olive Blvd Ste 317 Saint Louis MO 63132-3224 | |
| (314) 746-9622 | |
| Not Available |
| Full Name | Agape Christian Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9378 Olive Blvd Ste 317, Saint Louis, Missouri |
| Authorized Official Name and Position | Darrell George Provinse (L.P.C., N.C.C) |
| Authorized Official Contact | 3147469622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Christian Counseling Services 9378 Olive Blvd Ste 317 Saint Louis MO 63132-3224 Ph: (314) 746-9622 | Agape Christian Counseling Services 9378 Olive Blvd Ste 317 Saint Louis MO 63132-3224 Ph: (314) 746-9622 |
| NPI Number | 1215259106 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 02/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215259106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2009036114 (Missouri) | Primary |
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