Agape Healing and Wellness Center PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AGAPE HEALING AND WELLNESS CENTER PLLC

Practice address

1913 J N Pease PL Ste 104
Charlotte, NC 28262-4537

Phone

(919) 807-1692

Fax

(833) 980-1022

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By 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

Darnita Denise Samuels, LMFTNPI 1356796809

Title

Owner

Phone

(313) 909-0539

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Agape Healing and Wellness Center Other name

Electronic endpoints 1

Tax ID family

Agape Healing and Wellness Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Agape Healing and Wellness Center PLLC

  • Marriage & Family Therapist
  • Houston, TX
  • NPI 1497481972
  NPD tax ID

Locations

Practitioners 2

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.

• Darnita Denise Samuels, MSA, MA, LMFTA

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1356796809
  NPD Authorized official
• Lauren A Holland, MSW, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1447095187
  NPD

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1245999523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624537",
            "telephone_number": "919-807-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624537",
            "telephone_number": "919-807-1692",
            "fax_number": "833-980-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HEALING AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "DARNITA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-909-0539",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1356796809",
            "identifier": "1356796809",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darnitasamuelsmft@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1913 J N Pease Pl Ste 104",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282624537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Agape Healing and Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Afya Group LLC (Avant Pharmacy and Wellness Center)
• Agape Centered Therapy
• Agape Creative Ministries
• Agape Creative Ministries, Inc. (Agape Christian Counseling)
• Agape Creative Ministries, Inc. Dba Agape Christian Counseling
• Agape in Home Healthcare, LLC
• Agape Life Care Center
• Agape Love Home Care, LLC
• Chetan Agarwal, DMD
• Minti Agarwal, DDS

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.