AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS INC. NPI 1194072652

NPI Information

NPI: 1194072652
Provider Name: AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2001 MARTIN LUTHER KING JR DR SW
SUITE 420
ATLANTA, GA
ZIP 30310
Phone: (404) 564-6486
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AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC. is a mental health (including community mental health center) clinic center in Atlanta, GA. AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC. NPI is 1194072652. The provider is registered as an organization entity type.

The provider's business location address is:

2001 MARTIN LUTHER KING JR DR SW
SUITE 420
ATLANTA, GA
ZIP 30310-101
Phone: (404) 564-6486
Fax: (404) 564-6487

The provider's authorized official is Godwin Ananaba .
The authorized official title is Ceo and has the following contact phone number (404) 564-6486.

The enumeration date for this NPI number is 8/14/2012 and was last updated on 5/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health		GEORGIA	No
2	261QM0850X	Clinic/Center	Adult Mental Health		GEORGIA	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness			GEORGIA	No
4	103TP2701X	Psychologist	Group Psychotherapy			No
5	103TB0200X	Psychologist	Cognitive & Behavioral			No
6	101Y00000X	Counselor				No
7	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	060-435-D	NEVADA	No
8	1041C0700X	Social Worker	Clinical			No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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