Active NPI
Agape Angels Resoultion Services, LLC
Doing business as Empowered Counseling
- Adult Mental Health Clinic/Center
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- AGAPE ANGELS RESOULTION SERVICES, LLC
- Doing business as
- Empowered Counseling
- Practice address
- 1430 Farmer St
Petersburg, VA 23803-3941 - Phone
- (804) 919-0364
- NPI assigned
- Jul 31, 2020
- Last updated
- Jul 31, 2020
- Organization subpart
- Yes
- Parent organization
- EMPOWERED COUNSELING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrice Nicole Shuford, ABD
- Title
- Resdient
- Phone
- (804) 919-0364
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
1430 Farmer St
Petersburg, VA 23803-3941
Mailing address
2 Flower Cir
Petersburg, VA 23803-4613
Phone (804) 919-0364
Other names 1
- Empowered Counseling
National Provider Directory
National Provider Directory- Part of
- Agape Angels Resoultion Services LLC
Locations
1430 Farmer St
Petersburg, VA 23803
Phone (804) 919-0364
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Petersburg, VA
- NPI 1801426291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596153600000",
"number": "1104436534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FLOWER CIR",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238034613",
"telephone_number": "804-919-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 FARMER ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238033941",
"telephone_number": "804-919-0364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE ANGELS RESOULTION SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EMPOWERED COUNSELING",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A",
"authorized_official_last_name": "SHUFORD",
"authorized_official_first_name": "PATRICE",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "RESDIENT",
"authorized_official_telephone_number": "804-919-0364",
"authorized_official_credential": "ABD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Empowered Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.