# SIERRA AGAPE COUPLES, FAMILY, AND INDIVIDUAL THERAPY, PROF. CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sierra Agape Therapeutic Services, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902647670
- **Authorized official:** KIMBALL CONVERSE PIER PH.D., LMFT (DIRECTOR)
- **Authorized official phone:** (530) 536-8695

## Contact information

- **Practice address:** 64A FOOTHILL RD, BISHOP, CA 93514
- **Practice address phone:** (530) 536-8695
- **Mailing address:** P.O. BOX 1794, BISHOP, CA 93515-1794
- **Mailing address phone:** (530) 536-8695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2024
- **Last updated:** 06/05/2024