Organization
AGAPE HEALING AND WELLNESS CENTER PLLC
Active
Other names
Agape Healing and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DARNITA DENISE SAMUELS LMFT (OWNER)
(313) 909-0539
Entity
Organization
Contact information
Practice address
1913 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4537
(919) 807-1692
(833) 980-1022
Mailing address
1913 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4537
(919) 807-1692
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356796809
1356796809
NC
Enumeration date
12/14/2021
Last updated
12/14/2021
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