Organization · NPI-2

Agape Community Integrated Health Systems, INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Atlanta, GA

NPI number1578090601

StatusActive

Last updated in NPPESMay 8, 2024

Details

NPI: 1578090601
Entity type: Organization (NPI-2)
Legal business name: Agape Community Integrated Health Systems, INC
Organization subpart: No
Enumeration date: May 19, 2017
Certification date: May 8, 2024
Last updated: May 8, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
101Y00000X	Counselor	–	–
103TB0200X	Psychologist, Cognitive & Behavioral	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–
1041C0700X	Social Worker, Clinical	–	–
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	–	–
261QC1500X	Clinic/Center, Community Health	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QR0401X	Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	060-435-D	GA

Practice location

5536 Old National Hwy
Suite 100
Atlanta, GA 30349

Phone 404-564-4796 · Fax 404-564-6487

Mailing address

P.O. Box 10938
Atlanta, GA 30310

Phone 404-564-6486 · Fax 404-564-6487

Authorized official

Aisha D. Frazier
Administrative Assistant
4045646486

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