Organization Active NPI

Agape Counseling and Healing Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Florence, SC
National Provider Identifier
1255030862
Registry record updated Mar 3, 2023
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 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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Mrs. Amy Vitacolonna, M.S. LPCNPI 1497116875
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8246OtherSCSOUTH CAROLINA LICENSING BOARD FOR COUNSELORS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.