# AGAPE MENTAL HEALTH AND CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679582308
- **Authorized official:** MS. FAY MARSHALL PHILLIPS-LESANE MSW (OWNER/THERAPIST)
- **Authorized official phone:** (703) 309-3031

## Contact information

- **Practice address:** 3095 P. S. BUSINESS CENTER DRIVE, WOODBRIDGE, VA 22192
- **Practice address phone:** (703) 309-3031
- **Mailing address:** PO BOX 4986, WOODBRIDGE, VA 22194-4986
- **Mailing address phone:** (703) 309-3031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904003313 | VA | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 11/14/2016