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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