Organization
AGAPE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIOSSANTA REYES LMFT (OWNER)
(484) 258-9215
Entity
Organization
Contact information
Practice address
1161 PENN AVE # 1W, READING, PA 19610-2076
(484) 258-9215
Mailing address
1161 PENN AVE # 1W, WYOMISSING, PA 19610-2076
(484) 258-9215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659930394
—
PA
Enumeration date
08/12/2022
Last updated
08/25/2022
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