# AGAPE MENTAL HEALTH

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

## Provider details

- **NPI number:** 1750912762
- **Authorized official:** IVANA SANINOCENCIO (DIRECTOR)
- **Authorized official phone:** (603) 475-1485

## Contact information

- **Practice address:** 1030 SKYLINE DR UNIT 21, DRACUT, MA 01826
- **Practice address phone:** (603) 475-1485
- **Mailing address:** 20 COMMERCIAL DR STE 2003, DRACUT, MA 01826-2837
- **Mailing address phone:** (978) 935-0923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 01/17/2025