Agape Counseling Services, P.L.L.C.

Organization Active NPI Clinical Social Worker · Norman, OK

NPI 1275950529 · NPPES record last updated Mar 25, 2014

Key facts

NPI
1275950529
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
2591 (OK)
Legal business name
AGAPE COUNSELING SERVICES, P.L.L.C.
Practice address
8809 Alameda Dr
Norman, OK 73026-3549
Phone
(405) 343-4244
NPI assigned
Mar 25, 2014
Organization subpart
No

Authorized official

Name
Jennifer Ladd, LCSW
Title
Manager
Phone
(405) 343-4244

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20141009000221 OK Part B Supplier - Clinic/Group Practice 9931329224 Receives reassigned benefits from 3 practitioners
Practice locations: Norman, OK

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
101YM0800X 2591 OK
Clinical Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1041C0700X 2591 OK Yes

Addresses

Primary practice location

8809 Alameda Dr
Norman, OK 73026-3549

Mailing address

8809 Alameda Dr
Norman, OK 73026-3549
Phone (405) 343-4244

Other providers in Norman, OK

All providers in Norman, OK · Clinical Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.