Agape Change Family Counseling & Consultation Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

AGAPE CHANGE FAMILY COUNSELING & CONSULTATION SERVICES LLC

Practice address

2128 Willamette Way
Decatur, GA 30032-6036

Phone

(678) 755-5585

NPI assigned

Aug 4, 2020

Last updated

Aug 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

Angela Belcher

Title

Chief Executive Officer/ Poc

Phone

(678) 755-5585

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1285244293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 WILLAMETTE WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300326036",
            "telephone_number": "678-755-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 WILLAMETTE WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300326036",
            "telephone_number": "678-755-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CHANGE FAMILY COUNSELING & CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/ POC",
        "authorized_official_telephone_number": "678-755-5585"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "agapechangecounseling1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2128 Willamette Way",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300326036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Counselor in Georgia

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