Agape Family Services

LBN: Ross & Mackenzie Llc
Agape Family Services is an health care organization with primary practice located at 319 N Litchfield Rd Suite 105, Goodyear AZ 85338-1256. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Ross & Mackenzie Llc can be contacted via phone (480) 316-3782, or through Mackenzie, Wayne M via phone (623) 224-1162.

Contact Information

Primary practice address
319 N Litchfield Rd Suite 105 Goodyear AZ 85338-1256
Phone: (480) 316-3782
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mackenzie, Wayne M PMHNP-BC
Phone: (623) 224-1162

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1609271659
LBN Legal business name Ross & Mackenzie Llc
DBA Doing business as Agape Family Services
Authorized official Mackenzie, Wayne M PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2014
Last updated Jan 31st, 2020 - about 4 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 1609271659 NPPES
Arizona Other QXIPQ0000098776 AHCCCS
Arizona MEDICAID PDZ-0000000-27067 AHCCCS

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