Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Behavior Technician |
106S00000X | |||
Case Management |
251B00000X | |||
Clinic/Center |
261Q00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Community Health |
261QC1500X | |||
Community/Behavioral Health |
251S00000X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Professional |
101YP2500X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Rehabilitation, Substance Use Disorder Unit |
276400000X | |||
Social Worker |
104100000X |
| NPI # | 1083278261 |
||||
| LBN Legal business name | AGAPE CHRISTIAN COUNSELING CENTER | ||||
| Authorized official | LISA BEBLEY (WALKER) - (PRESIDENT/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/23/2019 | ||||
| Last updated | 12/12/2024 - More than a year ago | ||||
| Identifiers |
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