NPIMap

Organization Active NPI

Agape Mental Health Services

Doing business as Lacy Allen

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parkville, MD
National Provider Identifier
1174230882
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AGAPE MENTAL HEALTH SERVICES
Doing business as
Lacy Allen
Practice address
8005 Harford Rd Ste 101
Parkville, MD 21234-5753
Phone
(443) 707-8319
Fax
(443) 558-3762
NPI assigned
Nov 2, 2022
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AGAPE MENTAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Lacy Denise Allen, LCSW-CNPI 1487005278
Title
Ceo
Phone
(443) 707-8319

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8005 Harford Rd Ste 101
Parkville, MD 21234-5753

Mailing address

8005 Harford Rd Ste 101
Parkville, MD 21234-5753
Phone (443) 707-8319

Other names 1

  • Lacy Allen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agape Mental Health Services2 organizations share this tax ID, including this one
Part of
Agape Mental Health Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1174230882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 HARFORD RD STE 101",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345753",
            "telephone_number": "443-707-8319",
            "fax_number": "443-558-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 HARFORD RD STE 101",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345753",
            "telephone_number": "443-707-8319",
            "fax_number": "443-558-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE MENTAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE MENTAL HEALTH SERVICES",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-707-8319",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lacy Allen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.