| Agape Counseling And Human Services, Llc | |
|
5150 E Stop 11 Rd Ste 14 Indianapolis IN 46237-8629 | |
| (317) 889-7520 | |
| (317) 881-6450 |
| Full Name | Agape Counseling And Human Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5150 E Stop 11 Rd Ste 14, Indianapolis, Indiana |
| Authorized Official Name and Position | Mary Beth Mahan (PRIMARY MEMBER/OWNER) |
| Authorized Official Contact | 3178897520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Counseling And Human Services, Llc 5150 E Stop 11 Rd Ste 14 Indianapolis IN 46237-8629 Ph: (317) 889-7520 | Agape Counseling And Human Services, Llc 5150 E Stop 11 Rd Ste 14 Indianapolis IN 46237-8629 Ph: (317) 889-7520 |
| NPI Number | 1861589012 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861589012 | NPI | - | NPPES |
| 200372510 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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