Organization
AGAPE SUBSTANCE ABUSE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN MIGNON DAVIS B.S., LCDC (CEO)
(713) 783-5437
Entity
Organization
Contact information
Practice address
9001 AIRPORT BLVD, SUITE 707, HOUSTON, TX 77061-3474
(713) 783-5437
Mailing address
PO BOX 2175, PEARLAND, TX 77588-2175
(713) 783-5437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13857527
CAQH
TX
01
—
1841574654
NPI
TX
Enumeration date
09/20/2016
Last updated
09/20/2016
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