Organization Name: | AGAPE COUNSELING ASSOCIATES INC |
NPI Number: | 1174657712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND KENT (MEMBER OF BOARD OF DIRECTORS) |
Mailing Address: | 21 Willow Pond Way Suite 103 Penfield |
State: | NY US |
Postal Code: | 145262687 |
Phone Number: | 5853856030 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R030772-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |