Agape Substance Abuse Program

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10003 Issued in TX

Legal business name

AGAPE SUBSTANCE ABUSE PROGRAM

Practice address

9001 Airport Blvd
Suite 707
Houston, TX 77061-3474

Phone

(713) 783-5437

NPI assigned

Sep 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Helen Mignon Davis, B.S., LCDCNPI 1841574654

Title

Ceo

Phone

(713) 783-5437

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen Mignon Davis, BS, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
  • NPI 1841574654
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1003364910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2175",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775882175",
            "telephone_number": "713-783-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 AIRPORT BLVD",
            "address_2": "SUITE 707",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770613474",
            "telephone_number": "713-783-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SUBSTANCE ABUSE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "MIGNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-783-5437",
        "authorized_official_credential": "B.S., LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13857527",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841574654",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Atin Agarwal

• Addiction (Substance Use Disorder) Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.