Organization · NPI-2

Agape Love Counseling Service LLC

Community/Behavioral Health · Shreveport, LA

NPI number1053818641
StatusActive
Last updated in NPPESApr 10, 2018

Details

NPI
1053818641
Entity type
Organization (NPI-2)
Legal business name
Agape Love Counseling Service LLC
Organization subpart
No
Enumeration date
Apr 10, 2018
Last updated
Apr 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthBH0012334LAYes

Practice location

1513 Line Ave Ste 240
Shreveport, LA 71101-4621

Phone 318-716-1841 · Fax 318-716-1851

Mailing address

1513 Line Ave Ste 240
Shreveport, LA 71101-4621

Phone 318-716-1841

Authorized official

Shaterrica Nashae Isaac
Owner
3187161841

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