Organization
AGAPE RECOVERY CENTER
Active
Other names
Agape Recovery Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE D. MATTHEWS LCSW (OWNER/THERAPIST)
(919) 538-5459
Entity
Organization
Contact information
Practice address
8338 NC HIGHWAY 39 S, HENDERSON, NC 27537-7132
(919) 538-5459
Mailing address
8338 NC HIGHWAY 39 S, HENDERSON, NC 27537-7132
(919) 538-5459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009632
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C009362
LCSW LICENSE
NC
Enumeration date
03/16/2016
Last updated
12/18/2023
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