Organization
AGAPE HOLISTIC THERAPUETIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNTE QUARLES (THERAPIST)
(813) 422-9467
Entity
Organization
Contact information
Practice address
10928 BANYAN WOOD WAY, RIVERVIEW, FL 33579-2343
(813) 422-9467
Mailing address
10928 BANYAN WOOD WAY, RIVERVIEW, FL 33579-2343
(813) 422-9467
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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