Organization
AGAPE FAMILY EDUCATION PROJECT AND COUNSELING PROGRAM INC.
Active
Organization
AGAPE FAMILY EDUCATION PROJECT AND COUNSELING PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDNA YOWANDA HERRING-COOPER MFT, CFLE (CEO/ADMINISTRATION)
(904) 416-4121
Entity
Organization
Contact information
Practice address
1372 LANE AVE S, JACKSONVILLE, FL 32205-6885
(904) 416-4121
(904) 781-9182
Mailing address
1372 LANE AVE S, JACKSONVILLE, FL 32205-6885
(904) 416-4121
(904) 781-9182
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
FL
251B00000X
Case Management Agency
—
FL
251E00000X
Home Health Agency
—
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
253Z00000X
In Home Supportive Care Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CFLE
NATIONALCOUNCIL ON FAMILY RELATIONS
FL
01
—
IMT1711
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
09/24/2011
Last updated
09/01/2013
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