Active NPI
Agape Love Counseling Service LLC
- Community/Behavioral Health Agency
- Shreveport, LA
National Provider Identifier
1053818641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- BH0012334
- Legal business name
- AGAPE LOVE COUNSELING SERVICE LLC
- Practice address
- 1513 Line Ave Ste 240
Shreveport, LA 71101-4621 - Phone
- (318) 716-1841
- Fax
- (318) 716-1851
- NPI assigned
- Apr 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaterrica Nashae Isaac
- Title
- Owner
- Phone
- (318) 716-1841
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | BH0012334 | LA | Primary |
Addresses
Primary practice location
1513 Line Ave Ste 240
Shreveport, LA 71101-4621
Mailing address
1513 Line Ave Ste 240
Shreveport, LA 71101-4621
Phone (318) 716-1841
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523318400000",
"number": "1053818641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 LINE AVE STE 240",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014621",
"telephone_number": "318-716-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 LINE AVE STE 240",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014621",
"telephone_number": "318-716-1841",
"fax_number": "318-716-1851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE LOVE COUNSELING SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A",
"authorized_official_last_name": "ISAAC",
"authorized_official_first_name": "SHATERRICA",
"authorized_official_middle_name": "NASHAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-716-1841"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": "BH0012334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.