Organization
AGAPE BEHAVIORAL HEALTHCARE AND COUNSELING, LLC .
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BENEDICTA E EJINDU LPC, ,NCC, STC. CPCS (CEO, OWNER)
(912) 541-2801
Entity
Organization
Contact information
Practice address
3711 EXECUTIVE CENTER DR, MARTINEZ, GA 30907-0951
(912) 541-2801
Mailing address
3711 EXECUTIVE CENTER DR, MARTINEZ, GA 30907-0951
(912) 541-2801
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003194568A
—
GA
Enumeration date
06/04/2020
Last updated
06/04/2020
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