Organization
AGAPE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CLARK LICSW, PHD (OWNER)
(270) 535-2545
Entity
Organization
Contact information
Practice address
233 12TH ST STE 525, COLUMBUS, GA 31901-2462
(888) 829-0897
Mailing address
233 12TH ST STE 525, COLUMBUS, GA 31901-2462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/17/2021
Last updated
11/19/2021
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