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AGAPE HEALTH & WELLNESS CENTER INC. NPI 1386223469


NPI Information

NPI: 1386223469
Provider Name: AGAPE HEALTH & WELLNESS CENTER INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 10D2297696

Address:
6138 KENNERLY RD STE AND150
JACKSONVILLE, FL
ZIP 32216
Phone: (386) 283-2010
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AGAPE HEALTH & WELLNESS CENTER INC. is a community behavioral health in Jacksonville, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. AGAPE HEALTH & WELLNESS CENTER INC. NPI is 1386223469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6138 KENNERLY RD STE AND150
JACKSONVILLE, FL
ZIP 32216-393
Phone: (386) 283-2010

The provider's authorized official is Tiffany Hart .
The authorized official title is Credentialing/billing Manager and has the following contact phone number (904) 300-7494.

The CLIA number assigned to this NPI record is 10D2297696 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2021 and was last updated on 4/19/2024.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3174H00000XHealth EducatorNo
4251B00000XCase ManagementNo
5251E00000XHome HealthNo
6251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12575228MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.