AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS INC NPI 1578090601

NPI Information

NPI: 1578090601
Provider Name: AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5536 OLD NATIONAL HWY
SUITE 100
ATLANTA, GA
ZIP 30349
Phone: (404) 564-4796
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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 1578090601. The provider is registered as an organization entity type.

The provider's business location address is:

5536 OLD NATIONAL HWY
SUITE 100
ATLANTA, GA
ZIP 30349
Phone: (404) 564-4796
Fax: (404) 564-6487

The provider's authorized official is Aisha D. Frazier .
The authorized official title is Administrative Assistant and has the following contact phone number (404) 564-6486.

The enumeration date for this NPI number is 5/19/2017 and was last updated on 5/1/2022.

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	251B00000X	Case Management				No
2	251S00000X	Community/Behavioral Health				No
3	261QC1500X	Clinic/Center	Community Health			No
4	101Y00000X	Counselor				No
5	103TB0200X	Psychologist	Cognitive & Behavioral			No
6	103TP2701X	Psychologist	Group Psychotherapy			No
7	1041C0700X	Social Worker	Clinical			No
8	261QM0850X	Clinic/Center	Adult Mental Health			No
9	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	060-435-D	GEORGIA	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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

NPI Synchronization or Removal

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