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
(704) 225-1479
Mailing address
806 CIRCLE DR, PO BOX 3319, MONROE, NC 28112-3800
(704) 225-0584
(704) 225-1479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5212
NC
261Q00000X
Clinic/Center
5901922
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916011
—
NC
05
—
6005849
—
NC
Enumeration date
03/17/2010
Last updated
05/12/2011
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