Organization Active NPI

Agape Learning Center

  • Clinic/Center
  • Durham, NC
National Provider Identifier
1063792885
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AGAPE LEARNING CENTER
Practice address
514 N Mangum St
Durham, NC 27701-2414
Phone
(919) 937-8733
NPI assigned
Aug 24, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mrs. Holli Cleafonya Wilkins, MEDE
Title
Director/Superintendent
Phone
(919) 937-8733

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

514 N Mangum St
Durham, NC 27701-2414

Mailing address

PO Box 72884
Durham, NC 27722-2884
Phone (919) 937-8733

National Provider Directory

National Provider Directory

Locations

514 N Mangum St
Durham, NC 27701
Phone (919) 730-9214

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1063792885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72884",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277222884",
            "telephone_number": "919-937-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N MANGUM ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012414",
            "telephone_number": "919-937-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_middle_name": "CLEAFONYA",
        "authorized_official_title_or_position": "DIRECTOR/SUPERINTENDENT",
        "authorized_official_telephone_number": "919-937-8733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MEDE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.