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Agave Health INC

Counselor, Mental Health in Jersey City, NJ. Organization (NPI-2).

NPI number1639038839
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1639038839
Entity type
Organization (NPI-2)
Legal business name
Agave Health INC
Organization subpart
No
Enumeration date
Jan 21, 2026
Certification date
Jan 21, 2026
Last updated
Jan 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
103TC1900X Psychologist, Counseling––

Practice location

359 5th St Unit 3
Jersey City, NJ 07302-2329

Phone 551-302-1794

Mailing address

359 5th St Unit 3
Jersey City, NJ 07302-2329

Phone 551-302-1794

Authorized official

Ori Fruhauf
Ceo
5513021794

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