Organization
AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AISHA D. FRAZIER (ADMINISTRATIVE ASSISTANT)
(404) 564-6486
Entity
Organization
Contact information
Practice address
5536 OLD NATIONAL HWY, SUITE 100, ATLANTA, GA 30349
(404) 564-4796
(404) 564-6487
Mailing address
P.O. BOX 10938, ATLANTA, GA 30310
(404) 564-6486
(404) 564-6487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
060-435-D
GA
Other
Enumeration date
05/19/2017
Last updated
05/08/2024
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