Active NPI
Team Agape Incorporated
- Community/Behavioral Health Agency
- Charleston, WV
National Provider Identifier
1164699534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TEAM AGAPE INCORPORATED
- Practice address
- 885 Westminister Way
Charleston, WV 25314-2015 - Phone
- (304) 345-7700
- Fax
- (304) 345-1695
- NPI assigned
- May 14, 2008
- 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
- Mr. Lawrence Duane Bryson Sr.
- Title
- President
- Phone
- (304) 341-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
885 Westminister Way
Charleston, WV 25314-2015
Mailing address
885 Westminister Way
Charleston, WV 25314-2015
Phone (304) 341-0400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393459200000",
"number": "1164699534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 WESTMINISTER WAY",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253142015",
"telephone_number": "304-341-0400",
"fax_number": "304-341-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 WESTMINISTER WAY",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253142015",
"telephone_number": "304-345-7700",
"fax_number": "304-345-1695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAM AGAPE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2014-02-27",
"status": "A",
"authorized_official_last_name": "BRYSON",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "DUANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-341-0400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.