| Agape Mind And Body Wellness | |
|
7806 Waterman Ln Chesterfield VA 23832-9208 | |
| (804) 461-6844 | |
| Not Available |
| Full Name | Agape Mind And Body Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7806 Waterman Ln, Chesterfield, Virginia |
| Authorized Official Name and Position | Jeneiss Patience Onyango (OWNER) |
| Authorized Official Contact | 8044616844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Mind And Body Wellness 7806 Waterman Ln Chesterfield VA 23832-9208 Ph: (804) 461-6844 | Agape Mind And Body Wellness 7806 Waterman Ln Chesterfield VA 23832-9208 Ph: (804) 461-6844 |
| NPI Number | 1780056929 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780056929 | NPI | - | NPPES |
| 110858653 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701004699 (Virginia) | Primary |
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