AGAPE BEHAVIORAL HEALTHCARE AND COUNSELING, LLC .


Address: 3711 Executive Center Dr, Martinez, GA 30907-0951
Phone: 9125412801

AGAPE BEHAVIORAL HEALTHCARE AND COUNSELING, LLC . (NPI# 1245854207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245854207
Entity Type Organization
Organization Name AGAPE BEHAVIORAL HEALTHCARE AND COUNSELING, LLC .
Practice Address 3711 Executive Center Dr
Martinez
GA 30907-0951
Practice Telephone 9125412801
Mailing Telephone 9125412801
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Authorized Official Name MS. BENEDICTA E EJINDU (CEO, OWNER)
Authorized Official Telephone 9125412801
Authorized Official Credential LPC, ,NCC, STC.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA 003194568A 05

Office Location

Street Address 3711 EXECUTIVE CENTER DR
City MARTINEZ
State GA
Zip Code 30907-0951

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902982630 Heather Marie Armstrong Social Worker 3711 Executive Center Dr, Suite 201, Martinez, GA 30907-0951 2006-10-27
1487012530 Wisdom Solutions of The Csra, LLC Home Health 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 2016-02-04
1144692286 Niteika Lacole Sneed Social Worker 3711 Executive Center Dr, Suite 201, Martinez, GA 30907-0951 2015-10-28
1588062756 Transformation 3cs, LLC Counselor 3711 Executive Center Dr, Ste 202 #6, Martinez, GA 30907-0951 2014-12-19
1639589179 Sue Howell-fafchamps Lcsw LLC Social Worker 3711 Executive Center Dr, Suite 202 Office 1, Martinez, GA 30907-0951 2014-05-06
1871913087 Audrey Mack Counselor 3711 Executive Center Dr, Suite 202 Office #3, Martinez, GA 30907-0951 2014-04-27
1922343953 Marie Elizabeth Gehle Psychologist 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 2012-12-03
1053665356 Amy Holsten Psychologist 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 2012-11-08
1508110800 Lolita D Wiggs Counselor 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 2012-11-08
1962750869 Families Forward LLC Psychologist 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 2012-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275158156 Mary Cameron Elizabeth Robert Dentist 3226 Washington Rd, Augusta, GA 30907 2020-06-16
1841760451 Debra E Gibbs Dental Hygienist 523 Crystal Creek West, Martinez, GA 30907 2018-11-27
1083183651 Leslie Yvonne Watkins Massage Therapist 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 2018-11-13
1124594718 Kimberly A Delaigle Nurse Practitioner 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 2018-10-22
1366960825 Catherine Lane Hopkins Speech-Language Pathologist 435 Cambridge Circle, Martinez, GA 30907 2017-09-05
1518485143 Challenging Perspectives Clinic/Center 3710 Executive Center Dr Suite B, Martinez, GA 30907 2017-09-04
1386168490 Carlene Elizabeth Lemcke Speech-Language Pathologist 3580 Riverwatch Parkway, Martinez, GA 30907 2017-07-31
1619499357 Orchid Archer Registered Nurse 702 Riverbend Drive, Martinez, GA 30907 2017-07-14
1437679339 Mediator Senior Care, LLC In Home Supportive Care 4143 Columbia Rd., Suite B, Martinez, GA 30907 2017-06-21
1518407907 Augusta Smilecare PC Dentist 4200 Columbia Road, Martinez, GA 30907 2017-03-03
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598018897 Contra Costa Arc - Lynn Center Community/Behavioral Health 1340 Arnold Dr Ste 121, Martinez, CA 94553-4189 2012-10-24
1689715880 Youth Development Corporation of America Community/Behavioral Health 4424 Columbia Rd, Ste B, Martinez, GA 30907-4565 2007-02-09
1811044464 Georgia Psychological Services Community/Behavioral Health 4139 Columbia Rd Ste A, Martinez, GA 30907-5401 2007-01-05
1124596333 Contra Costa County Community/Behavioral Health 1350 Arnold Dr Ste 102, Martinez, CA 94553-4190 2018-11-06
1760982169 Contra Costa County Community/Behavioral Health 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 2018-02-13
1447762521 Seneca Family of Agencies Community/Behavioral Health 150 E St, Martinez, CA 94553-3139 2017-10-30
1841635554 Rising Tide Behavioral Interventions, LLC Community/Behavioral Health 305 Habersham Rd, Martinez, GA 30907-9073 2013-05-08
1588965651 Contra Costa County Health Services Community/Behavioral Health 10 Douglas Dr Ste 140, Martinez, CA 94553-4078 2010-11-05
1629257928 Martinez Detention Facility Community/Behavioral Health 1000 Ward St, Martinez, CA 94553-1360 2007-11-02
1851586572 Seneca Center Community/Behavioral Health 1320 Arnold Dr, Suite 160, Martinez, CA 94553-6537 2007-09-06
Find all providers in MARTINEZ

Competitor

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City MARTINEZ
Zip Code 30907

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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