Organization
AGAPE THERAPY INSTITUTE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BETH BEARDEN MS, LMHC-QS, LMFT-QS (FOUNDER)
(407) 900-8633
Entity
Organization
Contact information
Practice address
510 CHRISTOR PL, ORLANDO, FL 32803-5332
(407) 900-8633
Mailing address
510 CHRISTOR PL, ORLANDO, FL 32803-5332
(407) 900-8633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164898706
INDIVIDUAL NPI
FL
Enumeration date
08/10/2016
Last updated
12/14/2023
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