| Agape Services Inc | |
|
806 Circle Dr Monroe NC 28112-3800 | |
| (704) 225-0584 | |
| (704) 225-1479 |
| Full Name | Agape Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| 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 Po Box 3319 806 Circle Drive Monroe NC 28111-3319 Ph: (704) 225-0584 | Agape Services Inc 806 Circle Dr Monroe NC 28112-3800 Ph: (704) 225-0584 |
| NPI Number | 1417132366 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 03/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417132366 | NPI | - | NPPES |
| 8303172 | Medicaid | NC | |
| 8301179 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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Agape Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Circle Dr, Monroe, NC 28112 Phone: 704-225-0584 Fax: 800-755-9281 | |
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