| Agape Love Counseling Service Llc | |
|
1513 Line Ave Ste 240 Shreveport LA 71101-4621 | |
| (318) 716-1841 | |
| (318) 716-1851 |
| Full Name | Agape Love Counseling Service Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1513 Line Ave Ste 240, Shreveport, Louisiana |
| Authorized Official Name and Position | Shaterrica Nashae Isaac (OWNER) |
| Authorized Official Contact | 3187161841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Love Counseling Service Llc 1513 Line Ave Ste 240 Shreveport LA 71101-4621 Ph: (318) 716-1841 | Agape Love Counseling Service Llc 1513 Line Ave Ste 240 Shreveport LA 71101-4621 Ph: (318) 716-1841 |
| NPI Number | 1053818641 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053818641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH0012334 (Louisiana) | Primary |
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