Organization
AGAPE COUNSELING AND HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY VITACOLONNA M.S. LPC (OWNER)
(360) 349-8775
Entity
Organization
Contact information
Practice address
657 S COIT ST, FLORENCE, SC 29501-5256
(843) 799-8611
Mailing address
657 S COIT ST, FLORENCE, SC 29501-5256
(843) 799-8611
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8246
SOUTH CAROLINA LICENSING BOARD FOR COUNSELORS
SC
Enumeration date
03/02/2023
Last updated
03/03/2023
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