Agape Counseling Service Inc | |
4144 Lindell Blvd Suite 402 St Louis MO 63108 | |
(314) 531-1601 | |
(314) 727-1921 |
Full Name | Agape Counseling Service Inc |
---|---|
Speciality | Social Worker - Clinical |
Location | 4144 Lindell Blvd, St Louis, Missouri |
Authorized Official Name and Position | Orenza John Cotton (PRESIDENT) |
Authorized Official Contact | 3145311600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Agape Counseling Service Inc 1569 Quendo Avenue St Louis MO 63130-1419 Ph: (314) 727-7277 | Agape Counseling Service Inc 4144 Lindell Blvd Suite 402 St Louis MO 63108 Ph: (314) 531-1601 |
NPI Number | 1003062936 |
---|---|
Provider Enumeration Date | 08/12/2008 |
Last Update Date | 09/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003062936 | NPI | - | NPPES |
2000165478 | Other | MO | LCSW MARRIAGE & FAMILY THERAPY |
495945404 | Medicaid | MO | |
856261409 | Medicaid | MO | |
856261409 | Other | MO | MEDICAID WAIVER |
CASAC 2513 | Other | MO | ADDICTION DIAGNOSIS & TREARMENT |
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