Whalio Doctors

NPI 1003062936

Agape Counseling Service INC

Organisation Clinical Social Worker St Louis, MO

Practice location

Address
4144 Lindell Blvd Suite 402, St Louis, MO 63108
Phone
(314) 531-1601
Fax
(314) 727-1921
Mailing address
1569 Quendo Avenue, St Louis, MO 63130-1419

Authorised official

Name
Orenza John Cotton
Title
President
Phone
(314) 531-1600

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2000164578 (MO)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 20001164578 (MO)

Registry record

NPI
1003062936
Entity type
Organization
NPI issued
12 Aug 2008
Record last updated
30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.