Agape Behavioral Health And Addiction Counseling Services, INC
Counselor, Mental Health in Indianapolis, IN. Organization (NPI-2).
NPI number1982124558
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982124558
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Behavioral Health And Addiction Counseling Services, INC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 39000759A | IN | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 87001345A | IN |
Practice location
5150 E Stop 11 Rd Ste 14Indianapolis, IN 46237-8629
Phone 317-889-7520 · Fax 317-889-7520
Mailing address
5150 E Stop 11 Rd Ste 14Indianapolis, IN 46237-8629
Phone 317-886-7404 · Fax 317-851-9628
Authorized official
Mary Beth Mahan
President/Owner
3178867404
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