AGAPE CHILD AND FAMILY SERVICES, INC. (NPI# 1821120502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821120502 |
| Entity Type | Organization |
| Organization Name | AGAPE CHILD AND FAMILY SERVICES, INC. |
| Other Organization Name | AGAPE |
| Practice Address |
111 Racine St Memphis TN 38111-2707 |
| Practice Telephone | 9013233600 |
| Practice Fax Number | 9013233640 |
| Mailing Telephone | 9013233600 |
| Mailing Fax Number | 9013233640 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID JORDAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9013233600 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| AGAPE | Other Name - Individual/Organization |
| Street Address |
111 RACINE ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679612899 | Melodie Cole Miller | Counselor | 111 Racine St, Memphis, TN 38111-2707 | 2007-02-05 |
| 1417329269 | Julie Anna Johnson | Social Worker | 111 Racine St, Memphis, TN 38111-2707 | 2015-10-20 |
| 1043342918 | Michael Mcdonald | Social Worker | 111 Racine St, Memphis, TN 38111-2707 | 2007-03-09 |
| 1255462479 | Linda Kay Oxford | Social Worker | 111 Racine St, Memphis, TN 38111-2707 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449121 | Shanille Bowens | Counselor | 7174 Blue Grouse Ln, Memphis, TN 38125-4407 | 2020-08-29 |
| 1982225124 | Capitol City Family Services | Counselor | 5100 Poplar Ave Ste 202, Memphis, TN 38137-0202 | 2020-04-28 |
| 1114496494 | Debra Evans | Counselor | 6084 Apple Tree Dr Ste 10, Memphis, TN 38115-0305 | 2018-11-16 |
| 1417430323 | Sharon Denise Richardson | Counselor | 6634 Birch Run Ln, Memphis, TN 38115-5208 | 2018-09-07 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1063961696 | George Hale | Counselor | 560 Colonial Rd, Suite 201, Memphis, TN 38117-4019 | 2016-09-23 |
| 1174918502 | Janet Malone | Counselor | 315 Dr Martin Luther King Dr, Memphis, TN 38104 | 2015-04-02 |
| 1992145726 | Danelle Marie Batterton | Counselor | 113 E Monroe St, Memphis, MO 63555-1437 | 2013-06-25 |
| 1922317239 | Damie Eileen Turpin Roberts | Counselor | 3150 Wilcox Ave, Memphis, TN 38111-3427 | 2010-10-04 |
| 1538488937 | Richard Harrell Jr. | Counselor | 2911 Brunswick Rd., Memphis, TN 38133 | 2010-05-25 |
| Find all providers in MEMPHIS | ||||
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| 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.