Agape Behavioral Healthcare and Counseling, LLC .

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AGAPE BEHAVIORAL HEALTHCARE AND COUNSELING, LLC .

Practice address

3711 Executive Center Dr
Martinez, GA 30907-0951

Phone

(912) 541-2801

NPI assigned

Jun 4, 2020

Last updated

Jun 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Benedicta E Ejindu, LPC, ,NCC, STC. CPCS

Title

Ceo, Owner

Phone

(912) 541-2801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Benedicta N Ejindu, MED

  • Professional Counselor
  • Evans, GA
  • NPI 1093182594
  NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1245854207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 EXECUTIVE CENTER DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070951",
            "telephone_number": "912-541-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 EXECUTIVE CENTER DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070951",
            "telephone_number": "912-541-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE BEHAVIORAL HEALTHCARE AND COUNSELING, LLC .",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "EJINDU",
        "authorized_official_first_name": "BENEDICTA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "912-541-2801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, ,NCC, STC. CPCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003194568A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Martinez, GA
• Providers in Martinez, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.