Active NPI
Agappe Living
- Addiction (Substance Use Disorder) Counselor
- Phoenix, AZ
National Provider Identifier
1205512431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- AGAPPE LIVING
- Practice address
- 1535 W Corral Rd
Phoenix, AZ 85041-3777 - Phone
- (346) 758-4916
- NPI assigned
- Jun 22, 2023
- Last updated
- Jun 22, 2023
- 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
- Angelique Muhingerwa
- Title
- Employee
- Phone
- (346) 758-4916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
1535 W Corral Rd
Phoenix, AZ 85041-3777
Mailing address
1535 W Corral Rd
Phoenix, AZ 85041-3777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687392000000",
"number": "1205512431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 W CORRAL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850413777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 W CORRAL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850413777",
"telephone_number": "346-758-4916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPPE LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A",
"authorized_official_last_name": "MUHINGERWA",
"authorized_official_first_name": "ANGELIQUE",
"authorized_official_title_or_position": "EMPLOYEE",
"authorized_official_telephone_number": "346-758-4916"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.