| Agape Counseling Services, Llc | |
|
233 12th St Ste 525 Columbus GA 31901-2462 | |
| (888) 829-0897 | |
| Not Available |
| Full Name | Agape Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 233 12th St Ste 525, Columbus, Georgia |
| Authorized Official Name and Position | Rebecca Clark (OWNER) |
| Authorized Official Contact | 2705352545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Counseling Services, Llc 233 12th St Ste 525 Columbus GA 31901-2462 Ph: () - | Agape Counseling Services, Llc 233 12th St Ste 525 Columbus GA 31901-2462 Ph: (888) 829-0897 |
| NPI Number | 1275290967 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 1850775651 |
|---|---|
| Medicare Enrollment ID | O20220829000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275290967 | NPI | - | NPPES |
| Provider Name | Rebecca Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699026773 PECOS PAC ID: 5395068621 Enrollment ID: I20220913000083 |
| Provider Name | Tiffany Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407528995 PECOS PAC ID: 4082099031 Enrollment ID: I20220913000125 |
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