Agape Christian Counseling Services | |
525 Rue Saint Francois Suite8 Florissant MO 63031-5036 | |
(314) 994-9344 | |
(314) 994-3007 |
Full Name | Agape Christian Counseling Services |
---|---|
Speciality | Community/behavioral Health |
Location | 525 Rue Saint Francois, Florissant, Missouri |
Authorized Official Name and Position | Darrell G Provinse (PRESIDENT/EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3149949344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Agape Christian Counseling Services 9378 Olive Blvd Suite 317 Saint Louis MO 63132-3215 Ph: (314) 944-9344 | Agape Christian Counseling Services 525 Rue Saint Francois Suite8 Florissant MO 63031-5036 Ph: (314) 994-9344 |
NPI Number | 1255617726 |
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Provider Enumeration Date | 10/28/2011 |
Last Update Date | 10/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255617726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2011031734 (Missouri) | Primary |
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