| Agape Individual And Family Therapy, Llc | |
|
2825 7th St Tuscaloosa AL 35401-1807 | |
| (205) 523-5590 | |
| Not Available |
| Full Name | Agape Individual And Family Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2825 7th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Greer K Fawley (OWNER) |
| Authorized Official Contact | 2055235590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Individual And Family Therapy, Llc 2825 7th St Tuscaloosa AL 35401-1807 Ph: (205) 523-5590 | Agape Individual And Family Therapy, Llc 2825 7th St Tuscaloosa AL 35401-1807 Ph: (205) 523-5590 |
| NPI Number | 1801487640 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Certification Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801487640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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