| Agape Services Inc | |
|
806 Circle Dr Monroe NC 28112-3800 | |
| (704) 225-0584 | |
| (704) 225-1479 |
| Full Name | Agape Services Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 806 Circle Dr, Monroe, North Carolina |
| Authorized Official Name and Position | William Jeffery Massey (CEO) |
| Authorized Official Contact | 7042250584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Services Inc 806 Circle Dr Po Box 3319 Monroe NC 28112-3800 Ph: (704) 225-0584 | Agape Services Inc 806 Circle Dr Monroe NC 28112-3800 Ph: (704) 225-0584 |
| NPI Number | 1134443351 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134443351 | NPI | - | NPPES |
| 6005849 | Medicaid | NC | |
| 5916011 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5212 (North Carolina) | Primary |
| 261Q00000X | Clinic/center | 5901922 (North Carolina) | Secondary |
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