Active NPI
Agape Learning Center
- Clinic/Center
- Durham, NC
National Provider Identifier
1063792885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2011
- 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
- Mrs. Holli Cleafonya Wilkins, MEDE
- Title
- Director/Superintendent
- Phone
- (919) 937-8733
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.