| Agape Faith Lay Counseling Center | |
|
3650 N Patterson Ave Winston Salem NC 27105-3500 | |
| (336) 725-5129 | |
| (336) 245-1174 |
| Full Name | Agape Faith Lay Counseling Center |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 3650 N Patterson Ave, Winston Salem, North Carolina |
| Authorized Official Name and Position | Jeremy Dockery (DIRECTOR) |
| Authorized Official Contact | 3367255129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Faith Lay Counseling Center 3650 N Patterson Ave Winston Salem NC 27105-3500 Ph: (336) 725-5129 | Agape Faith Lay Counseling Center 3650 N Patterson Ave Winston Salem NC 27105-3500 Ph: (336) 725-5129 |
| NPI Number | 1992383277 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 03/30/2021 |
| Certification Date | 03/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992383277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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