Agape Storge Healthcare Services, Inc
Organization Active NPI Community/Behavioral Health Agency · Mount Laurel, NJ
NPI 1396562112 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1396562112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- AGAPE STORGE HEALTHCARE SERVICES, INC
- Practice address
- 921 Pleasant Valley Ave Ste 385
Mount Laurel, NJ 08054-1210 - Phone
- (267) 944-1271
- Fax
- (856) 494-1303
- NPI assigned
- Sep 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Tanya Sue Bland
- Title
- Ceo
- Phone
- (267) 944-1271
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Pastoral Counselor |
101YP1600X | |||
| Behavior Analyst |
103K00000X | |||
| Clinical Psychologist |
103TC0700X | |||
| Clinical Social Worker |
1041C0700X | |||
| Behavior Technician |
106S00000X | |||
| Adult Psychiatric/Mental Health Registered Nurse |
163WP0809X | |||
| Child & Adolescent Psychiatry Physician |
2084P0804X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
921 Pleasant Valley Ave Ste 385
Mount Laurel, NJ 08054-1210
Mailing address
921 Pleasant Valley Ave Ste 385
Mount Laurel, NJ 08054-1210
Phone (267) 944-1271
Other names
- Serenity Safe-Haven Outpatient Clinic
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.