| Agape Angels Resoultion Services, Llc | |
|
1430 Farmer St Petersburg VA 23803-3941 | |
| (804) 919-0364 | |
| Not Available |
| Full Name | Agape Angels Resoultion Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1430 Farmer St, Petersburg, Virginia |
| Authorized Official Name and Position | Patrice Nicole Shuford (RESDIENT) |
| Authorized Official Contact | 8049190364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Angels Resoultion Services, Llc 2 Flower Cir Petersburg VA 23803-4613 Ph: (804) 919-0364 | Agape Angels Resoultion Services, Llc 1430 Farmer St Petersburg VA 23803-3941 Ph: (804) 919-0364 |
| NPI Number | 1104436534 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104436534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
News Archive
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› Verified 9 days ago
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