Organization Active NPI

Agape Holistic Therapuetic Services

  • Community/Behavioral Health Agency
  • Riverview, FL
National Provider Identifier
1508457987
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AGAPE HOLISTIC THERAPUETIC SERVICES
Practice address
10928 Banyan Wood Way
Riverview, FL 33579-2343
Phone
(813) 422-9467
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Shawnte QuarlesNPI 1770989147
Title
Therapist
Phone
(813) 422-9467

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

10928 Banyan Wood Way
Riverview, FL 33579-2343

Mailing address

10928 Banyan Wood Way
Riverview, FL 33579-2343
Phone (813) 422-9467

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop Direct

National Provider Directory

National Provider Directory

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1508457987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 BANYAN WOOD WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792343",
            "telephone_number": "813-422-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 BANYAN WOOD WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792343",
            "telephone_number": "813-422-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOLISTIC THERAPUETIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "QUARLES",
        "authorized_official_first_name": "SHAWNTE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "813-422-9467"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10928 Banyan Wood Way",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335792343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.