1669833760 NPI number — AGAPE RECOVERY CENTER

Table of content: (NPI 1669833760)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669833760 NPI number — AGAPE RECOVERY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AGAPE RECOVERY CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AGAPE RECOVERY CENTER, PLLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669833760
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8338 NC HIGHWAY 39 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27537-7132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-538-5459
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8338 NC HIGHWAY 39 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27537-7132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-538-5459
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MATTHEWS
Authorized Official First Name:
EVANGELINE
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
OWNER/THERAPIST
Authorized Official Telephone Number:
919-538-5459

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  C009632 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: C009362 . This is a "LCSW LICENSE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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