Agape Counseling Service

LBN: Agape Counseling Service Inc
Agape Counseling Service is an health care organization with primary practice located at 4144 Lindell Blvd Suite 402, St Louis MO 63108. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Agape Counseling Service Inc can be contacted via phone (314) 531-1601, or through Cotton, Orenza John via phone (314) 531-1600.

Contact Information

Primary practice address
4144 Lindell Blvd Suite 402 St Louis MO 63108
Phone: (314) 531-1601
Fax: (314) 727-1921
Website:
Map and Directions
Authorized official contact:
Name: Cotton, Orenza John Licensed Clinical Social Worker (LCSW)
Phone: (314) 531-1600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2000164578 Missouri
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 20001164578 Missouri

Profile Details

NPI number 1003062936
LBN Legal business name Agape Counseling Service Inc
DBA Doing business as Agape Counseling Service
Authorized official Cotton, Orenza John Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2008
Last updated Sep 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003062936 NPPES
Missouri Other 2000165478 LCSW MARRIAGE & FAMILY THERAPY
Missouri MEDICAID 495945404 LCSW MARRIAGE & FAMILY THERAPY
Missouri MEDICAID 856261409 LCSW MARRIAGE & FAMILY THERAPY
Missouri Other 856261409 LCSW MARRIAGE & FAMILY THERAPY
Missouri Other CASAC 2513 LCSW MARRIAGE & FAMILY THERAPY

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