Active NPI
Agape Counseling and Healing Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Florence, SC
National Provider Identifier
1255030862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- AGAPE COUNSELING AND HEALING CENTER
- Practice address
- 657 S Coit St
Florence, SC 29501-5256 - Phone
- (843) 799-8611
- NPI assigned
- Mar 2, 2023
- Last updated
- Mar 3, 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
- Mrs. Amy Vitacolonna, M.S. LPC
- Title
- Owner
- Phone
- (360) 349-8775
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
657 S Coit St
Florence, SC 29501-5256
Mailing address
657 S Coit St
Florence, SC 29501-5256
Phone (843) 799-8611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8246 | Other | SC | SOUTH CAROLINA LICENSING BOARD FOR COUNSELORS |
National Provider Directory
National Provider DirectoryLocations
657 S Coit St
Florence, SC 29501
Phone (843) 799-8611
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.
-
- Mental Health Counselor
- Lake Jackson, TX
- NPI 1497116875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1255030862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 S COIT ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015256",
"telephone_number": "843-799-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 S COIT ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015256",
"telephone_number": "843-799-8611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE COUNSELING AND HEALING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A",
"authorized_official_last_name": "VITACOLONNA",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-349-8775",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S. LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA LICENSING BOARD FOR COUNSELORS",
"identifier": "8246",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.