Organization
AGAPE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JEFFERY MASSEY (CEO)
(704) 225-0584
Entity
Organization
Contact information
Practice address
806 CIRCLE DR, MONROE, NC 28112-3800
(704) 225-0584
(800) 755-9281
Mailing address
PO BOX 3319, 806 CIRCLE DRIVE, MONROE, NC 28111-3319
(704) 225-0584
(800) 755-9281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916011
—
NC
05
—
6008247
—
NC
05
—
6603310
—
NC
05
—
6603506
—
NC
05
—
6603913
—
NC
05
—
6604025
—
NC
05
—
8301179
—
NC
05
—
8303172
—
NC
05
—
8303350
—
NC
05
—
8303351
—
NC
Enumeration date
07/07/2011
Last updated
03/22/2013
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