Organization
AGAPE COUNSELING AND HUMAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH MAHAN MA, LMHC (PRIMARY MEMBER/OWNER)
(317) 889-7520
Entity
Organization
Contact information
Practice address
5150 E STOP 11 RD STE 14, INDIANAPOLIS, IN 46237-8629
(317) 889-7520
(317) 881-6450
Mailing address
5150 E STOP 11 RD STE 14, INDIANAPOLIS, IN 46237-8629
(317) 889-7520
(317) 881-6450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200372510
—
IN
Enumeration date
10/09/2006
Last updated
06/02/2008
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