| Agape Therapeutic Services, Llc | |
|
160 Curtis Pkwy Ne Calhoun GA 30701-2062 | |
| (706) 466-7076 | |
| (706) 466-7076 |
| Full Name | Agape Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 160 Curtis Pkwy Ne, Calhoun, Georgia |
| Authorized Official Name and Position | Shawn Eudette Haggard (OWNER) |
| Authorized Official Contact | 6789867458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Therapeutic Services, Llc 160 Curtis Pkwy Ne Calhoun GA 30701-2062 Ph: (706) 466-7076 | Agape Therapeutic Services, Llc 160 Curtis Pkwy Ne Calhoun GA 30701-2062 Ph: (706) 466-7076 |
| NPI Number | 1114417722 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 5496004491 |
|---|---|
| Medicare Enrollment ID | O20180824001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114417722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004585 (Georgia) | Primary |
| Provider Name | Shawn Eudette Haggard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487934022 PECOS PAC ID: 8527203801 Enrollment ID: I20130315000166 |
| Provider Name | Richard Myers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316984354 PECOS PAC ID: 2961420682 Enrollment ID: I20211103001789 |
| Provider Name | Katie M Beebe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699361428 PECOS PAC ID: 4284023193 Enrollment ID: I20211116000282 |
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