Organization
AGAPE SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GINARD MADDEN JR. CPRS, QMHS (CEO)
(614) 653-8585
Entity
Organization
Contact information
Practice address
273 S 3RD ST, COLUMBUS, OH 43215-5133
(614) 653-8588
Mailing address
214 MACANDREWS WAY, BLACKLICK, OH 43004-9336
(614) 653-8585
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-9264
OHIODBH
OH
Enumeration date
10/12/2024
Last updated
03/15/2026
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